Clinical Challenge: Bluish-Black Skin Changes, Tendonitis And Arthritis

A 69-year-old man reports that he began to develop bluish discoloration over his ears in his early 30s. In his late 30s, he started developing deposits of a dark pigment in his sclera.

The patient subsequently developed severe arthritis and tendonitis requiring extensive surgical interventions, including spinal laminectomies; bilateral knee, hip and shoulder replacement; and tendon repairs and debridements.