Abstract
Background: In today's world, periorbital melanosis (PM), frequently referred to as dark circles, is of great cosmetic importance. This condition not only has a huge psychological impact but, it could also possibly be an indication of acanthosis nigricans (AN). Recently, it has been recognized as a distinct manifestation of metabolic syndrome. Methods: We studied one case of a middle aged female who came with a complaint of periorbital darkening. Relevant clinical and laboratory investigations were carried out. Results: Along with periorbital hyperpigmentation, she was also found to have axillary darkening consistent with AN. Further evaluation revealed abnormal electrocardiogram findings and she fulfilled the criteria of metabolic syndrome. Conclusion: We emphasize the need for evaluating such patients of PM for underlying metabolic syndrome.
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