The patient had insulin-dependent diabetes, congenital deafness, short stature, hyperpigmented patches on the skin, dysmorphic features, cardiomegaly, arthrogryposis, hepatosplenomegaly
[ncbi.nlm.nih.gov]
At age 7 yr, prominent hyperpigmented patches appeared on the skin at lower limbs, genitalia, and trunk.
[ncbi.nlm.nih.gov]
Like H syndrome, PHID causes patches of hyperpigmented skin with hypertrichosis.
[ghr.nlm.nih.gov]