PMC3032256_01
Hperpigmented knuckles
IJO-59-72-g001.jpg
PMC3032256_01_IJO-59-72-g001.jpg
F0001
She was pale and had hyperpigmented knuckles [Fig. 1].
Toad-like skin over trunk
IJO-59-72-g002.jpg
PMC3032256_01_IJO-59-72-g002.jpg
F0002
The patient had a papular skin rash suggestive of toad skin on her elbows and abdomen [Fig. 2].