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This seems to be slight thinning and erethema of the skin and sometimes present in hypothyroid patients. There is nothing to worry about. Apply good moisturizer on your hands especially at bed time and take lots of fluids.
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Erethema is redness of the skin. Yes, these tests are almost accurate. Your hands do not have any abnormal characteristics of any autoimmune disease. I have looked at the picture and i know its not rash rather a generalized redness. Nothing to worry about this.
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