BMJ 2009; 339 doi: http://dx.doi.org/10.1136/bmj.b3497 (Published 01 September 2009) Cite this as: BMJ 2009;339:b3497
  1. Angela Alani, dermatology senior house officer,
  2. Bart Ramsay, consultant dermatologist,
  3. Margaret O’Connor, geriatric medicine registrar
  1. 1Mid-Western Regional Hospital Limerick, Ireland
  1. angelaalani{at}yahoo.com

    This 84 year old man presented with a two month history of hyperpigmentation around the eyes, ears, nose, and lips. Three years …

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