On the Palms of His Hands: ACTH-Induced Hyperpigmentation

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On the Palms of His Hands: ACTH-Induced Hyperpigmentation Skand Shekhar, MD, Pramila Dharmshaktu, MD  The American Journal of Medicine  Volume 131, Issue 2, Pages 144-145 (February 2018) DOI: 10.1016/j.amjmed.2017.10.037 Copyright © 2018 Elsevier Inc. Terms and Conditions

Figure 1 Hyperpigmentation of the skin and nails is evident in this dorsal view of the patient's hands. The American Journal of Medicine 2018 131, 144-145DOI: (10.1016/j.amjmed.2017.10.037) Copyright © 2018 Elsevier Inc. Terms and Conditions

Figure 2 A palmar view of the patient's hands demonstrated hyperpigmentation in the creases of the palms and on the fingers. The American Journal of Medicine 2018 131, 144-145DOI: (10.1016/j.amjmed.2017.10.037) Copyright © 2018 Elsevier Inc. Terms and Conditions