A 51-year-old woman presented for evaluation of new-onset of facial hypertrichosis, hyperpigmentation and blistering on the back of the hands with sunlight exposure, additionally she referred change of urine to reddish coloration; previously she was being studied for anaemia and neutropenia, and received multiple blood transfusions as treatment. She has no significant medical history. Physical examination demonstrated scars in sun exposed areas, evident hypertrichosis in her cheeks, hepatosplenomegaly, and pink fluorescence of the urine with Wood's lamp illumination (WLI) (Fig. 1).
