When Victor Sharrah woke up one day in November 2020, he feared he was in some sort of “demonic world”.
When he looked at people’s faces, they appeared “demon-like”, with their ears, noses and mouths stretched back, and with deep grooves in their foreheads, cheeks and chins.
“You can’t imagine how scary it was,” the 59-year-old, from Clarksville, Tennessee, said.
What he was actually seeing were distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO.
Even more unusual in the case of Mr Sharrah was that, when he looked at a phone or computer screen, people’s faces appeared normally.
That gave scientists an interesting opportunity to put Mr Sharrah at the centre of an interesting new study – the results of which were recently published in respected medical journal, The Lancet.
For the first time, researchers were able to recreate these rare PMO distortions in the form of pictures.
Image: Pic: Antonio Mello/The Lancet.
Image: Pic: Antonio Mello/The Lancet.
“As the patient reported no distortion when viewing facial images on a screen or on paper, we asked him to compare an in-person face to a photograph of the face taken in the same room under identical lighting conditions,” the authors said in their report.
“By alternating between observing the in-person face perceived as distorted and the photo on a computer screen-perceived as undistorted, he provided real-time feedback on the perceived differences.
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“We then used image-editing software to modify each photo until it matched his in-person perception.”
What is PMO?
There are reportedly fewer than 100 published case reports of PMO, and scientists don’t fully understand what triggers it.
However, they suspect it is caused by dysfunction in the brain network that handles facial processing.
The distortions can vary from case to case, with other people reporting seeing people with droopy or off-set eyes, and others reporting seeing “witch-like” features.
Interestingly, unlike a person experiencing hallucinations due to a mental disorder, a person with PMO is aware that what they are seeing is a distortion or that something is wrong with their vision.
According to NBC, the US partner of Sky News, researchers offered two possible triggers in the case of Mr Sharrah.
The first was that he had carbon monoxide poisoning four months before his PMO symptoms started.
The second was he had endured a significant head injury 15 years earlier while hitting his head on concrete, with MRI scans showing a lesion on the left side of his brain.
Mr Sharrah also has a history of bipolar affective disorder and post-traumatic stress disorder, according to the study.
Image: Pic: Antonio Mello/The Lancet.
Image: Pic: Antonio Mello/The Lancet.
Though PMO symptoms often resolve after a few days or weeks, they can linger for years, and Mr Sharrah said he still sees demonic faces.
‘I came close to having myself institutionalised’
He has found ways to cope with his condition, including living with a roommate and her two kids, which he said has been helpful, because he’s used to having people around, so he isn’t as spooked when he sees new faces in public.
According to NBC, he also finds that green light alleviates his symptoms, so he sometimes wears glasses with green-tinted lenses when he’s in crowds.
Mr Sharrah wants others to know they can manage the condition.
“I came so close to having myself institutionalised,” he added.
According to the study’s lead author, Antonio Mello, a PhD student who works in Dartmouth’s Social Perception Lab, many doctors aren’t aware of PMO and may misdiagnose people with mental health disorders instead.
As a result, some PMO patients have been prescribed medications for schizophrenia or psychosis, which aren’t appropriate for their condition, he added.
Donald Trump has announced that most goods imported from Mexico and some from Canada are to be exempt from his trade tariff regime for at least four weeks, just days after the charges were imposed.
“We are working hard, together, on the border, both in terms of stopping illegal aliens from entering the United States and, likewise, stopping fentanyl,” the president posted on his Truth Social platform after first relaxing his sanctions against Mexico.
He often gives both issues as reasons for the tariffs.
The latest climbdown came after he surprised financial markets 24 hours earlier by waiving tariffs against carmakers following pleas from motor industry bosses.
The White House said that 62% of Canadian imports would still be subject to 25% tariffs because they were not compliant with a trade deal – USMCA (US Mexico and Canada) – struck in 2020.
News that Canadian goods which met the USMCA criteria were being spared tariffs until 2 April followed hours after the same concession was agreed between Mr Trump and his Mexican counterpart.
A tariff of 10% was to remain on potash – a fertiliser used by farmers – and Mr Trump added that the auto tariffs would definitely return next month.
The White House revealed some details. Parts due to flow into the US from Mexico and Canada as part of the manufacturing supply chain would not qualify for tariffs so long as they complied with the USMCA deal.
‘Rules of origin’ guidelines under the agreement allow goods to move between the three countries tariff-free if they qualify with a designation that they were made in North America.
US commerce secretary Howard Lutnick told Sky’s US partner network CNBC that, taken together, more than half of usual cross border trade volumes would be exempt under the expanded concessions.
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Why are tariffs such a big deal?
He too signalled there were signs of progress in the dispute with America’s closest trading partners, saying each had worked hard to make progress in tackling imports of Fentanyl – blamed for high crime and deaths in US communities.
But Mr Lutnick explained that, as things stand, the reprieve would only last until 2 April when the Trump administration plans to impose reciprocal tariffs – on top of the 25% charges that came into force on Tuesday.
At the same time, Mr Trump is under intense pressure to relax his tariff regime permanently amid a backlash from US firms and financial market investors who fear it is self defeating.
A closely-watched forecast has even suggested that the threats of a trade war were enough to push the US economy into recession before Mr Trump took office.
The dollar has sunk in value and US government borrowing costs have risen on the back of the turmoil.
US stock markets were also feeling the pressure again with the tech-heavy Nasdaq on course to fall by more than 3% on the day.
It is widely expected that the European Union will be next to face tariffs – possibly from 2 April – after Mr Trump threatened action “very soon” just last week.
Commenting on the threat to the eurozone from such a move, the president of the European Central Bank Christine Lagarde said on Thursday: “Just the threat of those tariff increases and potential retaliations are putting a brake on – on investment, on consumption decisions, on employment, hiring, all the rest of it.”
While Mr Trump has not issued a specific threat against the UK, her counterpart at the Bank of England Andrew Bailey told a committee of MPs on Wednesday that the US should work “multi-laterally” rather than bilaterally to resolve its disputes.
The United States is “finally destroying” the international rules-based order by trying to meet Russia “halfway”, Ukraine’s ambassador to the UK has warned.
Valerii Zaluzhnyi said Washington’s recent actions in relation to Moscow could lead to the collapse of NATO– with Europe becoming Russian President Vladimir Putin‘s next target.
“The failure to qualify actions of Russiaas an aggression is a huge challenge for the entire world and Europe, in particular,” he told a conference at the Chatham House think tank.
“We see that it is not just the axis of evil and Russia trying to revise the world order, but the US is finally destroying this order.”
Image: Valerii Zaluzhnyi. Pic: Reuters
Mr Zaluzhnyi, who took over as Kyiv’s ambassador to London in 2024 following three years as commander-in-chief of the Ukrainian armed forces, also warned that the White House had “questioned the unity of the whole Western world” – suggesting NATO could cease to exist as a result.
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But on the same day, the US president ordered a sudden freeze on shipments of US military aid to Ukraine,and Washington has since paused intelligence sharing with Kyiv and halted cyber operations against Russia.
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Mr Zaluzhnyi said the pause in cyber operations and an earlier decision by the US to oppose a UN resolution condemning Russian aggression in Ukraine were “a huge challenge for the entire world”.
He added that talks between the US and Russia – “headed by a war criminal” – showed the White House “makes steps towards the Kremlin, trying to meet them halfway”, warning Moscow’s next target “could be Europe”.
Lesotho’s foreign minister has said it is “insulting” for Donald Trump to say nobody has heard of the country.Â
In his address to the US Congress on Tuesday, the US president mentioned Lesotho while listing some of the foreign spending he had cut as “appalling waste”.
“Eight million dollars to promote LGBTQI+ in the African nation of Lesotho, which nobody has ever heard of,” Mr Trump said, drawing laughs in the Congress.
The president also appeared to struggle to pronounce the country’s name.
Lesotho’s foreign minister, Lejone Mpotjoane, said: “I’m really shocked that my country can be referred to like that by the head of state.
“Lesotho is such a significant and unique country in the whole world. I would be happy to invite the president, as well as the rest of the world, to come to Lesotho,” Mr Mpotjoane told the Reuters news agency.
He later told The Associated Press: “It is surprising and disappointing that he claimed no one knows Lesotho, especially given that the US has an embassy here.
“He should speak for himself and not generalise.”
The Trump administration has cut billions of dollars in foreign aid worldwide as part of the president’s America First policy.
Lesotho, which has a population of around 2.3 million people, has received American assistance for nearly 20 years through USAID, which gave it more than $44m (£34.1m) last year.
Image: The Maluti Mountains in Butha Buthe, Lesotho. File pic: Reuters/Sumaya Hisham
Image: The Katse dam in Lesotho. File pic: ReutersVictor Antonie
Mr Mpotjoane said while civil society organisations funded by the US embassy in Lesotho did work to support the LGBT+ community, the US also provided important funding to the country’s health and agriculture sectors.
The cuts have forced Lesotho’s HIV programme to lay off at least 1,500 health workers – about 7% of the country’s health staff – in what the government has described as a severe blow.
US aid has been credited with helping Lesotho provide life-saving treatment to more than 200,000 people living with HIV.
Mr Mpotjoane said the government was looking at how to become more self-sufficient.
“The decision by the president to cut the aid… it is [his] prerogative to do that. We have to accept that. But to refer to my country like that, it is quite unfortunate.”
This wasn’t the first time Mr Trump has reportedly been disparaging about Africa. During his first term, it was reported that he referred to African nations, as well as Haiti and El Salvador, as “shithole countries” – though Mr Trump denied this.
Elon Musk, a key adviser to Mr Trump and proponent of the foreign aid cuts in his role as head of the new department of government efficiency, has been trying to do business in Lesotho in recent months.
Mr Musk’s Starlink internet satellite service, a subsidiary of SpaceX, has applied for a license to operate in Lesotho. It is one of several African countries where the company is bidding to win contracts.
The Lesotho Communications Authority said last month it recently received Starlink’s bid for a 10-year license.
Prince Harry also co-founded the charity Sentebale to support children who live in extreme poverty or suffer from HIV/AIDS in Lesotho.