case_images: PMC11419569_01
case_images: normal skin hyperpigmentation of the hands of patient contrasting with vitiligo of the right hand before the diagnosis of Addison s disease: A) dorsum; B) palm; C,D) tanned skin hyperpigmentation of the hands in the dorsum and palm during the diagnosis of Addison s disease
case_images: PAMJ-48-53-g001.jpg
case_images: PMC11419569_01_PAMJ-48-53-g001.jpg
case_images: F1
case_images: Clinical findings: on physical examination, apart from vitiligo lesions on the face, hands, and armpits, the patient presented cutaneous hyperpigmentation (tanning) (Figure 1).