PMC4769757_01
Necrolytic migratory erythema over the back with areas of healing and hyperpigmentation.
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fig1
Physical examination revealed an erythematous scaly rash with areas of hyperpigmentation and skin sloughing involving mainly the extremities and lower back (Figure 1).
Glossitis.
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fig2
Her tongue was atrophic and bright red (Figure 2).
Onychoschizia.
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fig3
Her nails were brittle with longitudinal and transverse fissuring (onychoschizia) (Figure 3).
Hypervascular tumor in the tail of pancreas with metastases in segment V of the liver.
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fig4
Abdominal ultrasound revealed a hypoechoic mass in the tail of pancreas with multiple hypoechoic liver lesions suggestive of metastatic disease Accordingly, a contrast enhanced CT scan was done and confirmed the presence of 5 x 5 cm hypervascular lesion in the tail of pancreases with 3 liver metastases (Figure 4).
Glucagonoma in the tail of pancreas.
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fig5
Distal pancreatectomy with splenectomy as well as wedge resection of a superficial liver lesion was performed (Figure 5).