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Primary adrenal insufficiency
Area of buccal hyperpigmentation where teeth pinch mucous membrane while chewing
From the personal collection of T. Joseph McKenna, MD; used with permission
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Primary adrenal insufficiency
Generally hyperpigmented young man with primary adrenal insufficiency: exaggerated pigmentation over pressure points on elbows
From the personal collection of T. Joseph McKenna, MD; used with permission
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Primary adrenal insufficiency
Hands of patient with primary adrenal insufficiency showing: hyperpigmentation exaggerated on sun-exposed dorsal surface and creases; area of vitiligo in skin over left second metacarpophalangeal joint
From the personal collection of T. Joseph McKenna, MD; used with permission
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