A member asked:

How do symptoms of hyperpigmentation begin?

A doctor has provided 1 answer

Following irritation: The body forms increased amounts of pigment from a variety of mechanisms. Some are hormonal like melasma or related to endocrine diseases like adrenal gland dysfunction or liver disease. Other causes are side effects from medications or genetic diseases. Most of what we see clinically is caused by sun damage.

Answered 5/4/2018

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