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[Clinical Picture] Hypertrichosis lanuginosa acquisita: a rare dermatological disorder

A 75-year-old woman was brought to the emergency department following a syncopal episode in August, 2007. She had a 6 week history of weight loss, exertional dyspnoea, and non-productive cough, and a 2 month history of increased hair growth. On examination she had new lanugo hair and eyelash trichomegaly (figure), and a deeply furrowed tongue. Work-up showed a mass in the right upper lobe. Histology of a biopsy sample of the mass was consistent with adenocarcinoma of the lung stage 3B. She was given a course of palliative radiotherapy, with minor regression of lanugo hair and some improvement in her dyspnoea and cough.