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Image Challenge This patient presented with discoloration of his palms and soles.

This patient presented with discoloration of his palms and soles.

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Question

This patient presented with discoloration of his palms and soles. He reported a normal diet and had normal serum creatinine, thyroxine, and bilirubin concentrations. What is the diagnosis?

Diabetes mellitus

Vitamin B12 deficiency

Amiodarone exposure

Hyperlipidemia type III

Syphilis

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