PMC4140234_01
Necrolytic migratory erythema with erosion and crust formation.. Notes: (A) Face; (B) legs; (C) perianal region.
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The skin eruption had started at his lower face, and perianal region (Figure 1).
Skin biopsy in necrolytic migratory erythema showing a large zone of necrolysis in the upper epidermis (arrow).. Notes: Hematoxylin and eosin staining; magnification x40.
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Skin biopsy revealed psoriasiform acanthosis, parakeratosis, and spongiotic epidermis, showing a large zone of necrolysis in the upper epidermis (Figure 2).
Computed tomography scan of the abdomen of the patient showing a large tumor in the tail of the pancreas.
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Abdominal computed tomography scan revealed a hypervascularized tumor measuring 5-7 cm in the tail of his pancreas and an absence of liver metastasis (Figure 3).
Resolution of cutaneous lesions 1 week after surgery.. Notes: (A) Face; (B) legs; (C) perianal region.
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The patient underwent surgical distal pancreatectomy with total tumor excision, and the cutaneous lesions vanished 1 week after surgery (Figure 4).