Issue: 2016 > August > photo quiz

A medical cause for fifty shades of grey



PHOTO QUIZ
M. van der Graaf, C. Seynaeve, W. Kruit
Full textPDF

Full text

CASE REPORT 

A 62-year-old patient presented with abdominal discomfort, weight loss, discoloration of the skin, and dark urine (figure 1). His medical history revealed achondroplasia. Physical examination showed a short stature due to achondroplasia, a remarkable blue-grey skin discoloration most pronounced in the sun exposed skin, pathological lymphadenopathies of the right axilla, an enlarged liver and a scar on his back after a wide excision of a skin lesion performed 20 years ago, according to the patient.


WHAT IS YOUR DIAGNOSIS?