II. Causes: Hyperpigmentation
- Localized Lesions (increased Melanin or Melanocytes)
- See Brown Skin Lesion
- See Black Skin Lesion
- Postinflammatory Hyperpigmentation
- Melasma
- Solar Lentigines
- Ephelides (Freckles)
- Cafe Au LaitMacules
- Peutz-Jeghers Syndrome
- Pigmented lesions ("Freckles") on lips that crosses vermilion border
- Pigmented lesions are also found on the Buccal mucosa, periorbital face, hands and fingers
- Diffuse skin changes
- See Skin Discoloration
- See Melanism
- See Medication Causes of Hyperpigmentation
- See systemic causes below
III. Causes: Systemic Conditions with Hyperpigmentation
- Cardiovascular
- Skin
- Endocrine and Metabolic
- See Hyperpigmentation in Pregnancy
- Grave's Disease
- Hyperthyroidism
- Addison's Disease (Melanin Deposition)
- Porphyria
- Diabetic Dermopathy
- Hemosiderin deposition in Diabetes Mellitus
- Gastrointestinal Disease
- Whipple's Disease
- Cirrhosis
- Felty's Syndrome
- Hemochromatosis (Iron deposition)
- Genitalia
- Heller-Nelson Syndrome
- Hematology and Oncology
- Nutrition
- Malnutrition
- Starvation
- Medications and toxins
- See Medication Causes of Hyperpigmentation
- Phototoxic Reaction (increased Melanocytes)