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A 5-year-old girl presented with a 3-month history of yellow skin pigmentation of the skin and fatigue. She had no significant past medical history. On examination, the yellow pigmentation was generalised, especially on the palms and soles (figure 1), with normal sclerae. Her growth had recently slowed (+0.9 cm/4 months). She and her twin ate one to two tangerines a day but not carrots; additionally, her sister did not develop yellow …
Contributors KS and KN were involved in study design and data interpretation. KS and KN were involved in the data analysis. All authors critically revised the report, commented on drafts of the manuscript and approved the final report.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.