Published: 6 July 2021
Author(s): Isabel Borges, Patrícia Aranha
Section: Internal Medicine Flashcard

A 65-year-old man with a history of obesity, type 2 diabetes mellitus (DMT2) for more than 10 years, stage 3b chronic kidney disease (CKD) and hypertension was admitted to our internal medicine ward for face cellulitis. He also complained of a 4-month history of moderately to severely generalized itchy skin lesions (Fig. 1) that had gradually increased in number. Clinical complaints had no correlation with time of the day or activities made. During that period, he denied use of new pharmacies and there weren't similar symptoms in family members.

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