A 36-year-old woman presented with keratotic follicular papules on - TopicsExpress

A 36-year-old woman presented with keratotic follicular papules on her arms, legs, and buttocks of 6 months duration. Eighteen months previously, the patient had a total colectomy and subsequent ilio-rectal anastomosis (for a primary visceral myopathy of 10 years duration). At presentation, she had up to 20 loose bowel movements per day. Twice a day she would vomit partly digested food, 3 to 4 hours after consumption. Further history revealed the patient’s diet was completely devoid of any fruit or vegetables, apart from potato. From jaad.org/article/S0190-9622(99)70375-0/abstract

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