PMC9586807_01
Periocular, perioral, cervical, and mandibular acanthosis.
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fig2
Periocular and perioral acanthosis nigricans (Figure 2), and a left supraclavicular mobile lymphadenopathy of 1 cm diameter, with no inflammatory changes, were observed in physical examination.
Blood glucose plot. Improvement after IV methylprednisolone pulse and oral prednisolone therapy.
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fig3
Insulin dose was successfully reduced to less than 2 U/kg/day and a bridge with subcutaneous insulin was performed until insulin drip was suspended (Figure 3).