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A 29-year-old man presented to the hospital with progressive dysphagia and nausea. He also claimed recurrent episodes of nyctalopia (night blindness) in the past. His medical history includes a hepatocyte nuclear factor-1β gene mutation causing a chronic cholestatic liver disease.
On physical examination, epigastric tenderness was detected and there were multiple scaly plaques at the extensor sides of the upper and lower extremities (figure 1A).
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