Mutgi Krishna Aj, Ghahramani Grant, Wanat Karolyn, Ciliberto Heather
Nationwide Children's Hospital, Columbus, Ohio, USA. Email:
Cotton O'Neil Dermatology, Topeka, KS, USA.
J Fam Pract. 2016 Dec;65(12):927-930.
This patient was a liver transplant recipient and had a history of malnutrition. One tell-tale sign on the physical exam, however, left no doubt as to the diagnosis.