Images in Clinical Medicine

A Medical Mystery — Skin Discolorations in a Bank Employee

Stefan Schanz, M.D., and Gisela Metzler, M.D.

N Engl J Med 2007; 356:1455April 5, 2007

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A healthy 34-year-old female bank employee presented with black discolorations of the skin on all her fingers. The discolorations had developed in the evening, after work. She was unable to remove the spots, even with the use of various abrasives. She had no other acute symptoms. The same symptoms had developed in some of her colleagues. What is the diagnosis?

Stefan Schanz, M.D.
Gisela Metzler, M.D.
University of Tübingen, D-72076 Tübingen, Germany
stefan.schanz@med.uni-tuebingen.de

Citing Articles (1)

Citing Articles

1. 1

   Schanz, Stefan, Metzler, Gisela, . (2007) Medical Mystery: Skin Discolorations — The Answer. New England Journal of Medicine 356:22, 2327-2328
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