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Old 03-25-2011
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Skin A diabetic with darkening skin!

A non-diabetic slim 56 year old man reports to his doctor complaining of darkening of the skin on the back of his neck, his axilla, and groin, along with multiple skin tags. On physical exam, the manís skin is thickened, hyperpigmented, and covered in skin tags. What disease process should this patient be specifically evaluated for?


A - Ulcerative colitis
B - Polycystic renal disease
C - Lung cancer
D - Ankylosing spondylitis
E - Huntingtonís disease
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Old 03-25-2011
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Hyperpigmentation in this patient can be caused by excessive plasma ACTH level. Small cell carcinoma of the lung is one of malignancy that may secrete ACTH.

The asnwer is : C
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Old 03-25-2011
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yes the answer is C
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