Abstract
A 40-year-old woman with a history of chronic pancreatitis and gastro-oesophageal reflux disease presented with fatigue, malaise, dizziness, difficulty ambulating, diarrhoea, easy bruising, and a diffuse rash involving her extremities and trunk that had been present for several days. She explained that she had limited her diet to consist mostly of bread, rice, dumplings, and the occasional egg white to reduce the symptoms she suffered from her gastro-oesophageal reflux disease. Her diet was also devoid of red meat, fish, chicken, fruits, and vegetables.
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