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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.

Victor Sharrah was seeing distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO. Here is a depiction of what he was seeing. Pic: Antonio Mello/The Lancet.
Image:
Pic: Antonio Mello/The Lancet.

Victor Sharrah was seeing distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO. Here is a depiction of what he was seeing. 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.

“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.

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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.

Victor Sharrah was seeing distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO. Here is a depiction of what he was seeing. Pic: Antonio Mello/The Lancet.
Image:
Pic: Antonio Mello/The Lancet.

Victor Sharrah was seeing distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO. Here is a depiction of what he was seeing. 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.

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AB Hernandez: 16-year-old transgender athlete wins two golds and a silver as participation sparks controversy

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AB Hernandez: 16-year-old transgender athlete wins two golds and a silver as participation sparks controversy

A 16-year-old transgender athlete who is the focus of a US sports row has won two golds and a silver at the California high school track and field championship.

AB Hernandez was born a boy but has transitioned and now competes against girls.

And the teenager’s inclusion in the girls category in the high jump, long jump and triple jump became a national conversation.

Critics, including parents, conservative activists and President Trump, had called for Hernandez to be barred from competing.

Who is AB Hernandez?

AB Hernandez poses with her medals. Pic: AP
Image:
AB Hernandez poses with her medals. Pic: AP

In the city of Clovis on Saturday, she took part under a new rule change brought in by the state’s interscholastic federation, under which an extra student was allowed to compete and win a medal in the events where Hernandez qualified.

And it meant there were two winners when she finished first.

Hernandez shared first place in the high jump with Jillene Wetteland and Lelani Laruelle.

All three cleared a height of 5ft 7in (1.7m), but Hernandez had no failed attempts, while the other two had each logged one failure.

Hernandez also had a first-place finish in the triple jump, sharing the top spot with Kira Gant Hatcher, who trailed her by more than half a metre.

AB Hernandez shares the first-place spot on the podium with Kira Gant Hatcher during the triple jump medal ceremony. Pic: AP
Image:
AB Hernandez shares the first-place spot on the podium with Kira Gant Hatcher during the triple jump medal ceremony. Pic: AP

Also, Hernandez came second in the long jump with Brooke White.

“Sharing the podium was nothing but an honour,” White said. “As a part of the queer community I want AB Hernandez to know we all have her back.”

Plane protest

During Hernandez’s qualifying events on Friday, a plane flew over the stadium trailing a banner, which read: “No boys in girls’ sports.” It was organised and paid for by two women’s advocacy groups.

A small protest also took place on the road outside. “Save girls’ sports,” one poster read. “XX does not equal XY,” read another.

A plane, paid for by women's advocacy groups, flies a banner over the stadium that reads: 'no boys in girls sports'
Image:
A plane, paid for by women’s advocacy groups, flew a banner over the stadium that read: ‘No boys in girls’ sports’

Transgender inclusion is a thorny issue but a vote winner for Donald Trump, who campaigned last year with a promise to “kick out men from women’s sport”.

He signed an executive order seeking to ban transgender women from female sports.

And Mr Trump has threatened to withdraw federal funding from California over Hernandez’s participation in this weekend’s athletics event.

AB Hernandez. Pic: AP
Image:
Pic: AP

‘Pilot entry process’

The California Interscholastic Federation had earlier said it was launching a “pilot entry process” to allow more girls to participate in the championship.

It only applied to the three events in which Hernandez competed.

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The rule change may be the first attempt nationally by a high school sports governing body to expand competition when trans athletes are participating.

If a transgender athlete wins a medal, their ranking would not displace a “biological female” student from also medalling, the federation confirmed, and it will be reflected in the records.

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The federation said the rule opens the field to more “biological female” athletes.

The organisation did not specify how it defines “biological female” or how it would verify whether a competitor meets that definition.

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Trump to double tariffs on steel imports – as he threatens China

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Trump to double tariffs on steel imports - as he threatens China

Donald Trump said he plans to double tariffs on steel imports from next week, deepening his trade war which has hit global markets.

The US president told a rally of steel workers in West Mifflin, Pennsylvania, on Friday that tariffs would be raised from 25% to 50%, “which will even further secure the steel industry in the United States”.

Mr Trump later said on Truth Social that the new levy – also affecting aluminium imports – would be in effect from Wednesday and that American “industries are coming back like never before”.

“This will be yet another BIG jolt of great news for our wonderful steel and aluminum (sic) workers,” he added. “MAKE AMERICA GREAT AGAIN!”

He then said: “We don’t want America’s future to be built with shoddy steel from Shanghai – we want it built with the strength and the pride of Pittsburgh!”

Donald Trump in front of an "American Steel" on a visit to US Steel Corporation–Irvin Works in West Mifflin, PA, 30/05/25. Pic: Reuters
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The new levy will come into effect on Wednesday, the US president says. Pic: Reuters

Sky News understands that British steel exports are exempt from this rise after a UK-US trade agreement was signed earlier this month.

The agreement said at the time that the US “will promptly construct a quota at most favoured nation (MFN) rates” for British steel, aluminium and derivative products.

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Read more: Key details in the UK-US ‘historic’ trade deal

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How good is the UK-US deal?

Earlier, the US president claimed China had “totally violated” an agreement to mutually roll back tariffs and trade restrictions for critical minerals.

“So much for being Mr Nice Guy,” he said in a post on his social media platform.

In March, Mr Trump introduced a 25% tariff on all foreign steel and aluminium imports as a way to protect US manufacturing and bolster jobs by making foreign-made products less attractive.

The rates threaten to make the cost of products using steel and aluminium – such as cars or soft drink cans – more expensive for Americans.

He also previously threatened Canada with 50% levies on imports, while the provincial government of Ontario, in turn, threatened to charge 25% more for the electricity it supplies to the US.

Canada’s most populous province provides electricity to more than 1.5 million American homes and businesses in Minnesota, New York and Michigan.

At the time, Canadian Prime Minister Mark Carney called the proposed 50% tariffs an “attack” on Canadian workers, families and businesses.

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Roughly a quarter of all steel used in the US is imported, with a majority coming from Mexico, Canada, Japan, South Korea and Germany.

In 2024, 6.6m tonnes of steel were imported by the US from Canada, while 3.5m tonnes were brought in from Mexico.

The US is also reliant on imports for aluminium, with 3.2m tonnes coming from Canada last year.

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Painfully soft and inane questions for Musk’s White House swan song

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Painfully soft and inane questions for Musk's White House swan song

It was billed by the president as a press conference..

But that was accurate only to the extent that there were a few select reporters asking questions in the Oval Office.

They were part of the ‘pool’, a chosen group of journalists on a rota to cover the president’s movements each day.

The rota used to be drawn up by the White House Correspondents Association on a rotating basis.

The Trump administration has changed that. They now compile the pool.

And today, as it happens, the media seemed particularly compliant.

The questions were soft. Painfully so.

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Elon Musk receives a golden key from US President Donald Trump in the Oval Office. Pic: Reuters
Image:
Pic: Reuters

There was one on whether the president had any marital advice for his French counterpart – who appeared to be shoved by his wife the other day.

Another was about whether Mr Musk thought it was harder to colonise to Mars or reform government.

There were one or two about the pressing issues of the day, like Gaza, but nothing that could be described as probing or doing what we are supposed to be there to do – hold power to account.

And Musk, under Trump, has without question wielded immense power over the past few months; unprecedented for an unelected official.

He upended the workings of federal government, slashing thousands of jobs. He forced the closure of whole departments like USAID, changing America’s global footprint.

He did it all with a sense of enjoyment. The literal chainsaw to bureaucracy was memorable.

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From February: Elon Musk shows off ‘chainsaw for bureaucracy’

There is little debate in America about the need to cut government bureaucracy or cut the debt.

America, more than any country I have lived in, is a place full of bloat and waste. Yet it was Mr Musk’s methods which caused so much unease among his many critics.

They argued that where a scalpel was definitely needed, Musk instead deployed a sledgehammer.

At times, his flamboyant style was a neat distraction from the substance of Trump’s sweeping policy changes.

But none of that was interrogated in this ‘press conference’.

Instead, the inane questions went on.

Mr Musk wore a T-shirt with "The Dogefather" written on it. Pic: Reuters
Image:
Pic: Reuters

Trump was asked if he would pardon Sean ‘Diddy’ Combs should he be convicted – he didn’t say ‘no’, but there was no follow up to examine why.

He was asked if he wished he’d become a judge given that they are blocking so much of his legislation. He laughed.

There was a moment when irony appeared to have died altogether.

In the same breath as trumpeting his success in cutting government waste – when he has, in fact, achieved a fraction of the $2 trillion savings he promised – Musk congratulated Trump for deploying so much gold around the Oval Office.

The presidential office has had an extensive, gaudy gold makeover costing undisclosed sums.

Elon Musk stands in the Oval Office - with more gold decor brought in by Donald Trump - 30/05/25. Pic: Reuters
Image:
Pic: Reuters

One reporter did ask about Musk’s alleged drug use. But by attributing the story to the New York Times – who have made the allegations – Musk had an easy out.

“Why believe that fake news,” he essentially said.

Surely the obvious question was “Mr Musk, when was the last time you took ketamine or ecstasy?”

It never came.

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We did get the answer to one burning question, trivial though it was, given what’s going on in the world.

But it took 41 minutes for any of the reporters to ask it: Why was Elon Musk sporting a shiner on his right eye?

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Elon Musk asked about his black eye

His 4-year-old son, X, whacked him, he said.

Maybe young X has some sympathy for the thousands of federal workers – ordinary Americans – who Musk fired at his president’s pleasure.

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