Abstract
A 20-year-old man with no prior complaints presented with progressive hyper pigmentation for 8 months, intermittent loose stools, hematochezia and vague abdominal pain. He also had anorexia and weight loss of 8 kg over last 8-mo. There was no family history of polyposis. On physical examination, he was lean, pale, had generalized hyperpigmentation, onychodystrophy [Figure 1] and alopecia. Initial evaluation ruled out Addison’s disease as cortisol levels were normal. Lab tests revealed decreased Hb 113 g/L (normal 140-160), total protein 46 g/L (normal 55-85) and serum albumin 20 g/L (normal 35-55).
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
