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Minerva

Thick skin with a sinister cause

BMJ 2023; 381 doi: https://doi.org/10.1136/bmj-2022-073424 (Published 20 April 2023) Cite this as: BMJ 2023;381:e073424
  1. Jian-you Wang, associate chief physician,
  2. Yan-hong Sun, attending physician
  1. Department of Dermatology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang, China
  1. Correspondence to: Y-h Sun sunyh1128{at}zju.edu.cn

This is malignant acanthosis nigricans in a man in his 80s (fig 1). He presented with a 10 day history of upper abdominal pain preceded by two months of itchy, …

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