BMJ 2009; 339 doi: http://dx.doi.org/10.1136/bmj.b3414 (Published 25 August 2009) Cite this as: BMJ 2009;339:b3414
  1. Kathir Yoganathan, consultant physician,
  2. Susannah Danino, associate specialist
  1. 1Abertawe Bro Morgannwg University NHS Trust, Singleton Hospital, Swansea SA2 8QA
  1. kathir.yoganathan{at}swansea-tr.wales.nhs.uk

    A 26 year old African woman with HIV infection presented with progressively increasing pigmentation of hands and feet over six months. Three years earlier she had …

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