BACKGROUND: We describe 4 cases: Three male brothers, the oldest one (20 years) and the younger brothers (15 and 12 years), the fourth case (21 years) female, from the same city (Dar El-Salam); Sohag Governorate, Upper Egypt, presented with cutaneous Hypergimentation accompanied by Hypertrichosis and induration, acquired hand and foot deformities (hallux valgus), low Height, Hearing loss, Hepatosplenomegaly and Heart ... إقراء المزيد