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Severe complete pachydermoperiostosis (Touraine-Solente-Golé syndrome).

BACKGROUND: The thickened, folded skin of Touraine-Solente-Golé syndrome (pachydermoperiostosis) can result in cosmetic and fuctional deformities.

OBJECTIVE: To illustrate that simple surgical procedures can improve cosmetic and functional status.

METHODS: Case report of a 33-year-old male with bilateral eyelid ptosis, enlargement of the eyelids, and a leonine facies owing to deep skin furrows managed with bilateral blepharoplasties and tarsal wedge resections, along with excision of multiple skin furrows.

RESULTS: A greatly improved cosmetic appearance was achieved with these standard procedures.

CONCLUSIONS: The appearance of patients with pachydermoperiostosis can be greatly improved with standard surgical procedures.

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