case_images: PMC11162535_01
case_images: Gum hyperpigmentation.
case_images: MFP-19-31-g1.jpg
case_images: PMC11162535_01_MFP-19-31-g1.jpg
case_images: f1
case_images: His oral hygiene was poor, with gum hyperpigmentation noted (Figure 1).
case_images: Hyperpigmented scars on the lower limbs.
case_images: MFP-19-31-g2.jpg
case_images: PMC11162535_01_MFP-19-31-g2.jpg
case_images: f2
case_images: Multiple hyperpigmented scars were found over the bilateral upper and lower limbs (Figure 2).
case_images: Lower limb radiograph showing metaphyseal bands.
case_images: MFP-19-31-g3.jpg
case_images: PMC11162535_01_MFP-19-31-g3.jpg
case_images: f3
case_images: Rate (ESR) and C-reactive protein level were high at 117 mm/h and 44.7 mg/L, respectively. Radiography of both lower limbs showed ill-defined metaphyseal bands at the distal metaphysis of the bilateral femur (Figure 3).