PMC6830193_01
Affected area of the skin showed desquamation, erythema, and ulceration in lower extremities and sole.
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Ulceration was prominent in the right lower extremity, trunk, bilateral upper extremities, and palms and soles (Figure 1).
A CT scan with contrast of abdomen showed a large, heterogenously enhancing mid to distal pancreatic mass measuring 9.4 x 3.8 cm with surrounding low-attenuation soft tissue thickening (white arrows).
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Because of his recent significant weight loss, a computed tomography (CT) scan of chest, abdomen, and pelvis with contrast was done to rule out occult malignancy, which showed a large, heterogenously enhancing mid to distal pancreatic mass measuring 9.4 x 3.8 cm with surrounding low-attenuation soft tissue thickening (Figure 2).
A biopsy of skin lesion showing psoriasiform inflammatory reaction and confluent parakeratosis.
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The punch biopsy of the skin lesion showed psoriasiform inflammatory reaction and confluent parakeratosis (Figure 3).