A 42-year-old woman with primary biliary cholangitis, presented with an increasing number of yellow skin lesions and generalized pruritis. She had plaques around both eyes, similar lesions on the palmar surfaces of the hands, nodules on the dorsal joints of the hands, and pale pink lesions on the left buttock as well as mild jaundice and scleral icterus. Walk through the differential and treatment options in this case with
accompanying editorial.
