case_images: PMC6830193_01
case_images: Affected area of the skin showed desquamation, erythema, and ulceration in lower extremities and sole.
case_images: ZJCH_A_1671574_F0001_OC.jpg
case_images: PMC6830193_01_ZJCH_A_1671574_F0001_OC.jpg
case_images: F0001
case_images: Ulceration was prominent in the right lower extremity, trunk, bilateral upper extremities, and palms and soles (Figure 1).
case_images: 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).
case_images: ZJCH_A_1671574_F0002_B.jpg
case_images: PMC6830193_01_ZJCH_A_1671574_F0002_B.jpg
case_images: F0002
case_images: 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).
case_images: A biopsy of skin lesion showing psoriasiform inflammatory reaction and confluent parakeratosis.
case_images: ZJCH_A_1671574_F0003_OC.jpg
case_images: PMC6830193_01_ZJCH_A_1671574_F0003_OC.jpg
case_images: F0003
case_images: The punch biopsy of the skin lesion showed psoriasiform inflammatory reaction and confluent parakeratosis (Figure 3).