[Diagnostic image (303). A deeply tanned woman].
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.
van Venrooij
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FV
St. Antonius Ziekenhuis, afd. Inwendige Ziekten, Postbus 2500, 3430 EM Nieuwegein.
Slee
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PH
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
D000893:Anti-Inflammatory Agents; D006854:Hydrocortisone