PMC5114824_01
Coarse facies
13633_2016_39_Fig1_HTML.jpg
PMC5114824_01_13633_2016_39_Fig1_HTML.jpg
Fig1
There was extensive acanthosis nigricans, hypertrichosis, thick finger nails and coarse hands (Figs. 1 and 2).  
Acanthosis nigricans and hypertrichosis
13633_2016_39_Fig2_HTML.jpg
PMC5114824_01_13633_2016_39_Fig2_HTML.jpg
Fig2
There was extensive acanthosis nigricans, hypertrichosis, thick finger nails and coarse hands (Figs. 1 and 2).  