This award-winning picture shows a 17-year old patient with early onset Elhers Danlos Syndrome, the congenital connective tissue disease.
This picture was a bronze award winner in the 2009 Institute of Medical Illustrators awards and was taken by Abbey Staplehurst at Addenbrooke's hospital.
This is the ninth in our series of clinical pictures which will be published every week. Click here to see all the pictures.
Elhers Danlos Syndrome