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Gingival pigmentation was the clue to underlying Addison disease, presenting as an Addisonian crisis
The blisters in this patient are due to bullosis diabeticorum; coma was due to hyperglycaemia
Diabetic shin spots, (diabetic dermopathy) was the clue to diabetes in this comatose patient
The extending ulcer on this lady's temple was the result of temporal arteritis, which had caused visual loss and ultimately coma
Livedo reticularis was the result of a medium-size-vessel vasculitis; associated cerebral vasculitis resulted in coma
The tick causing tick-borne encephalitis was still attached
