Abstract
H syndrome is an autosomal recessive multisystemic disease with a very low prevalence rate, characterized by indurated cutaneous hyperpigmentation, hypertrichosis, and various systemic manifestations. A 37-year-old woman was referred to the rheumatology department with a prediagnosis of rheumatoid arthritis due to deformity in the hands and feet and mild sensorineural hearing loss since the age of 17.
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