Image Based Question-71442

Question

This 63-year-old woman with a 4 1/2-year history of diabetes mellitus presented with an ulcerating rash, primarily on the shins, groin, and face ; cheilitis ; and glossitis.Her symptoms had been worsening for 4 years .In addition, she noted concurrent weight loss, depression, abdominal pain, and intractable nausea.
Abdominal computed tomography showed an enhancing, lobulated mass measuring 7 cm in diameter was found in the tail of the pancreas and the patient’s fasting glucagon level was elevated, at 890 pg per milliliter (normal range, 0 to 80).What can be the most possible diagnosis?

A. Staphylococcal Scalded Skin Syndrome

B. Necrolytic Migrating Erythema

C. Erysipelas

D. Erythema Multiforme

 

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