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- W2159770216 abstract "Question: A 74-year-old man presented with 3-month history of an erythematous rash involving his extremities and torso. He also complained of mid-epigastric discomfort, abdominal cramping, and a 30-lb weight loss. The skin rash preceded the abdominal pain by a few weeks and did not improve with steroid ointments. He was a nonsmoker and used alcohol occasionally. Physical examination was significant for red-colored papules coalescing to plaques on face, neck, chest, back, abdomen, and extremities. Lesions were more prominent over the dorsum of the feet, lower legs, and around the knees (Figures A and B). Additionally, nail dystrophy and prominent scaling in the palms were present. Laboratory studies showed mild microcytic anemia. Skin biopsy showed a psoriasiform dermatitis with hyperkeratosis and hypergranulosis. An upper GI series was performed because of abdominal pain and weight loss (Figure C)." @default.
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- W2159770216 date "2004-06-01" @default.
- W2159770216 modified "2023-09-24" @default.
- W2159770216 title "Image of the month question and answer" @default.
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- W2159770216 doi "https://doi.org/10.1053/j.gastro.2004.04.054" @default.
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