title: [Diagnostic image (303). A deeply tanned woman].
abstract: A 50-year-old woman complained of nausea, diarrhoea, tiredness and dizziness five weeks after a visit to Egypt. She was deeply tanned with hyperpigmentation on the metacarpophalangeal joints, palm of hand creases and buccal mucosa, due to Addison's disease.
authors.affiliation: St. Antonius Ziekenhuis, afd. Inwendige Ziekten, Postbus 2500, 3430 EM Nieuwegein.
authors.forename: F V
authors.initials: FV
authors.lastname: van Venrooij
authors.forename: P H T J
authors.initials: PH
authors.lastname: Slee
mesh_terms: D000224:Addison Disease / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use*; D017495:Hyperpigmentation / Q000209:etiology*; D008875:Middle Aged; D009325:Nausea / Q000209:etiology; D016896:Treatment Outcome; D015431:Weight Loss
chemical_list: D000893:Anti-Inflammatory Agents; D006854:Hydrocortisone