Published: 24 February 2017
Author(s): Juan Carlos Cataño, Sara Isabel Gomez
Section: Internal Medicine Flashcard

An 81-year-old diabetic woman, presented to the out-patient clinic with a 10-year history of glove-like anesthesia in both hands. This neurologic deficit was reported to be accompanied by the spontaneous appearance of blisters on both palms that soon turned into ulcers and then healed only to appear again weeks later. She also disclosed incomplete anesthesia of the face, earlobes, and retroauricular region along with xerodermia, hypohidrosis, and difficulty on closing the eyelids. She reported no other skin lesions on any other part of her body.


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