Clinical manifestation

Presents with nonspecific complaints, such as weight loss, diabetes mellitus, diarrhea, and stomatitis; necrolytic migratory erythema: found anywhere on the body, but most common in the perineum, buttocks, groin, lower abdomen, and lower extremities; eruption starts as a pruritic or painful, erythematous patch that blisters centrally, erodes, crusts over, and heals with hyper-pigmentation; annular lesions with confluence into plaques; confluence in severely affected areas; associated mucocutaneous findings, including atrophic glossitis, cheilosis, dystrophic nails, and buccal mucosal inflammation

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