case_images: PMC10475260_01
case_images: Timeline of the patient's clinical course including clinical events and medication (Figure 1 created with BioRender.com).
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case_images: PMC10475260_01_10.1177_2050313X231198321-fig1.jpg
case_images: fig1-2050313X231198321
case_images: In early 2020, a 79-year-old female patient was referred by her general practitioner due to a severe pruritic urticarial rash (Figure 1), diarrhea for 2 months, dyspnea, and worsening of her general medical condition. Clinical examination revealed an erythematosquamous erythema on all extremities and trunks without affecting palms and soles (Figure 1). Alongside these observations, the patient showed a rapid clinical improvement: the erythema regressed (Figure 1), the diarrhea stopped, and oxygen supplementation could be discontinued.