Do you recognize this ominous sign?

What underlying condition is most likely?

A 62-year-old female presents with fatigue and innumerable pruritic, keratotic lesions on her back and neck which she says developed quite suddenly two months ago. A blood test reveals a microcytic anemia with hemoglobin of 9.1 g/dL. What is the most likely underlying condition?

A. Diabetes mellitus
B. Gastrointestinal malignancy
C. Hematologic malignancy
D. HIV

Find the answer, discuss this case, and more on Figure 1.

Figure 1

Explore cases, quiz yourself, and solve medical mysteries along with thousands of other medical professionals around the world on Figure 1, the free app where doctors expand their clinical knowledge.

Figure 1 has 50 posts and counting. See all posts by Figure 1