A 42-year-old man presented with gradually progressive thickening of his scalp, face and extremities. He also complained of hyperhidrosis of palms and sole. On examination, he had coarse ‘leonine like’ facies, with thickened folded skin of face, eyelids and scalp with mechanical partial ptosis (figure 1). Scalp examination revealed typical gyrate appearance (cutis verticis gyrate). He had …