Fig. 3

a Graph of the patient’s prescribed daily dose of levothyroxine and serum thyroid stimulating hormone (TSH) over time relative to initiation of nivolumab, (b) Archival thyroid ultrasound demonstrating enlarged, heterogeneous thyroid gland suggestive of chronic thyroiditis, (c) Distribution of psoriasis involving the patient’s back, (d) Representative scaly, well-demarcated erythematous papules overlying the right lower abdomen predominantly within an area of vitiligo, (e) Low-resolution and (f) High-resolution histologic sections of cutaneous biopsy with H&E staining demonstrating a thin granular layer, confluent parakeratosis with collections of neutrophils, and dilated capillaries throughout the papillary dermis, consistent with psoriasis