Case 1

Comment on his legs. What is your consideration?

Answer

Image contributed by Dr Harry Messmore

Case 1 answer (Skin)

Hyperpigmentation .

Diffuse Hyperpigmentation can be seen in patients with

• Addison disease
• Thyrotoxicisis
• Hemochromatosis
• Chronic renal failure
• Pregnancy
• Biliary cirrhosis

Patient with ITP

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