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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).
Contributors PK and DN wrote the manuscript and reviewed the literature, PK drafted the manuscript, TG critically revised the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Patient consent for publication Obtained.