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