Patient with PSP therapy Levodopa with little success. Dark | Figure 1

Patient with PSP therapy Levodopa with little success. Dark patches all over abdomen, side and back. This one is the biggest one. They are not related to any injury. Started in the very beginning of the illness 5 years ago. MRI without mickey mouse and collibri sign (for psp) bit with progressive atrophy.

Lot of bloodwork has been done, everything normal except some virus load - Mycoplasma Pneumonie IgG 68 (normal bellow 22), EBV igG 55 (normal bellow 1), Varicella Zoester IgG 162 (normal bellow 110), HHV6 1:320 (normal 1:20). On the heavy metal urine testing abnormal Aluminium 110 (normal bellow 30), Molybdenum 40 (normal bellow 16), Nickel 6.71 (normal bellow 5), Iron in urine 44 (normal bellow 20) Iron is normal in the blood.

What this could be and is something missing from diagnosis?

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