PMC6586102_01
Showing oral candidiasis.
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Oral examination showed multiple hyperpigmented lesions on the dorsum of his tongue (Figure 1) and multiple deformed and pitting finger nails in both hands (Figure 2).
Timing of major clinical features in APS type 1.
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Oral examination showed multiple hyperpigmented lesions on the dorsum of his tongue (Figure 1) and multiple deformed and pitting finger nails in both hands (Figure 2).
The finger nail changes.
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The patient was classified as having APS type 1 because of the presence of hypoparathyroidism, Addison's disease, and chronic muco-cutaneous candidiasis, and promptly referred to the endocrinologist for continuity of care (Figure 3).