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Andrea Lubics, MD; Imre Schneider, MD, PhD; Bela Sebök, MD, PhD; Zoltán Havass, MD
University Medical School Pécs (Drs Lubics, Schneider, and Sebök), and Central Laboratory of County Hospital, Hódmezövásárhely (Dr Havass), Hungary

Arch Dermatol. 2000;136:547-552.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 65-year-old man presented with a 30-year history of slowly developing extensive bluish gray skin pigmentation. For about 2 decades, he had increasing pain in the lumbar region, hips, and knees. His mother, who had similar clinical signs, remembered that the patient's diapers had shown discoloration when he was a baby.

Physical examination revealed prominent bluish gray pigmentation of the face (Figure 1), hands, and cartilage of the ears and nose. Pigmentation of extensor tendons was prominent and could be seen through the skin of the hands (Figure 2). There were grayish axillary skin pigmentation, similar pigmentary changes of the nailbed, and black cerumen. On the right sclera, triangular brown pigmentation appeared laterally. A biopsy specimen was obtained from a pigmented area (Figure 3).

Figure 1.

Figure 2.

Figure 3.

. . . [Full Text of this Article]

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