A 36-year-old female is under investigation for coarsening facial features, palpitations and milky discharge from her nipples | Medibuddy
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17th September 2024

A 36-year-old female is under investigation for coarsening facial features, palpitations and milky discharge from her nipples

A 36-year-old female is under investigation for coarsening facial features, palpitations and milky discharge from her nipples. On examination, she has a large tongue and has skin changes in her left armpit (shown below).

MRCP Part 1 - An image of the left armpit

Which of the following features is NOT in keeping with her likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.

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