Pigmentary mosaicism – phylloid hyperpigmentation
BJD 149:414–416, 2003
Pityriasis rotunda
Progressive cribriform and zosteriform hyperpigmentation
AD 114:98–99, 1978
Prurigo pigmentosa
Cutis 63:99–102, 1999; BJD 120:705–708,
1989; AD 125:1551–1554, 1989; JAAD 12:165–169, 1985
Pseudo-ochronosis
Scleredema of Buschke (pseudoscleroderma) – with IgG-
lambda paraproteinemia; hyperpigmentation of involved skin
AD 123:629–632, 1987
Subcorneal pustular dermatosis of Sneddon–Wilkinson –
pustules which expand to annular and serpiginous lesions with
scaly edge; heal with hyperpigmentation
J Dermatol
27:669–672, 2000; Cutis 61:203–208, 1998; JAAD 19:854–858,
1988; BJD 68:385–394, 1956
Terra firme (Diogenes syndrome) – self-neglect
Lancet
i:366–368, 1975
Transient neonatal pustular melanosis
Vitiligo, pigmented
Zosteriform reticulate hyperpigmentation
PSYCHOCUTANEOUS DISORDERS
Factitial chromhidrosis
Rook p.2804, 1998, Sixth Edition; factitial
pigmentation (dermatitis simulata)
J R Coll Physicians Lond
17:199–205, 1983
SYNDROMES
Acromelanosis progressiva – autosomal recessive; sharply
demarcated pigmented patches of the dorsal fingers of infants,
spread to head, neck, perineum, and extremities
JAAD 10:1–16,
1984
Albright’s syndrome
Anonychia with bizarre flexural pigmentation – autosomal
dominant, absent nails, dry peeling palmoplantar skin, coarse
and sparse frontal hair; mottled hyper- and hypopigmentation of
the axillae, groin, and natal cleft
BJD 92:469–474, 1975
Ataxia telangiectasia
Ghatan p.6, 2002, Second Edition
Bannayan–Riley–Ruvulcaba syndrome – pigmented macules
(CALMs) on penis and vulva
AD 132:1214–1218, 1996
Bazex syndrome
Bazex–Dupre–Christol syndrome – congenital hypotrichosis,
follicular atrophoderma, basal cell nevi and basal cell
carcinomas, facial milia, hypohidrosis, pinched nose with
hypoplastic alae, atopy with comedones, keratosis pilaris, joint
hypermobility, scrotal tongue, hyperpigmentation of the
forehead
BJD 153:682–684, 2005; Dermatol Surg 26:152–154,
2000; Hautarzt 44:385–391, 1993
Beare–Stevenson syndrome – cutis gyrata (furrowed skin),
corrugated forehead, acanthosis nigricans, macular
hyperpigmentation of antecubital and popliteal fossae,
hypertelorism, swollen lips, swollen fingers, prominent eyes, ear
anomalies, and umbilical herniation
Ped Derm 20:358–360, 2003
Becker’s syndrome – discrete or confluent brown macules of
neck, forearms
Arch Dermatol Syphilol 40:987–998, 1939
Bloom’s syndrome – irregular hyperpigmentation of trunk and
extremities
Syndromes of the Head and Neck p.298, 1990
Cantu’s syndrome – autosomal dominant; hyperpigmented
macules of face, forearms, and feet, hyperkeratotic palms and
soles
Clin Genet 14:165–168, 1978
Carney syndrome
Centrofacial lentiginosis
Ghatan p.6, 2002, Second Edition
Congenital reticular ichthyosiform erythroderma (ichthyosis
variegata)
BJD 139:893–896, 1998
Cowden’s syndrome – acromelanosis
Ghatan p.213, 2002,
Second Edition
Cronkhite–Canada syndrome – lentigo-like macules of face,
extremities, and diffuse pigmentation of palms; gastrointestinal
polyposis, malabsorption, alopecia, dystrophic nails
AD
135:212, 1999; Cutis 61:229–232, 1998
Crouzon’s syndrome – hyperpigmentation and hyperelasticity
Dyskeratosis congenita
Familial Becker’s nevus
Dermatologica 176:275–276, 1988
Familial mandibuloacral dysplasia – mottled hyperpigmentation
of hands, feet, trunk, and extremities
Familial melanopathy with gigantic melanocytes
Familial multiple café au lait macules
AD 130:1425–1426, 1994
Familial periorbital hyperpigmentation
AD 100:169–174, 1969;
Cutis 5:579, 1969
Familial progressive hyperpigmentation – macular
hyperpigmentation of skin, oral, and ocular mucosa, whorls,
streaks, and retiform patches
Curr Prob Derm VII:143–198, 1995
Familial sea-blue histiocytosis – autosomal recessive; patchy
gray pigmentation of face, upper chest, shoulders; eyelid
edema, facial nodules
Dermatologica 174:39–44, 1987
Familial transverse nasal hyperpigmentation
J Hered
65:157–159, 1974
Generalized nevoid hyperpigmentation
J Cutan Dis 37:687–701,
1919
Glucagonoma syndrome – resolution leaves pigmentation
Goltz’s syndrome (focal dermal hypoplasia) – patchy
hyperpigmentation
Ped Derm 20:249–253, 2003
Hermansky–Pudlak syndrome – freckling in sun-exposed skin
Rook p.1797, 1998, Sixth Edition; JAAD 19:217–255, 1988
Hutchinson–Gilford syndrome
Incontinentia pigmenti
Am J Dis Child 139:711–712, 1985;
AD 112:535–542, 1976
Juvenile hyaline fibromatosis – hyperpigmentation of
metacarpophalangeal joints and malleoli
Ped Derm
21:154–159, 2004
Laugier–Hunziger syndrome
LEOPARD syndrome – CALMs
Ped Derm 13:100–104, 1996
Localized hereditary pruritus
McCune–Albright syndrome (polyostotic fibrous dysplasia) –
giant café au lait macules
Ped Derm 8:35–39, 1991; Dermatol
Clin 5:193–203, 1987
MELAS syndrome – mitochondrial encephalomyopathy with
lactic acidosis – reticulated hyperpigmentation
JAAD
41:469–473, 1999
Mitochondrial DNA syndrome – mottled hyperpigmentation
Pediatrics 103:428–433, 1999; JAAD 39:819–823, 1998
Mottled pigmentation of neck and elbows
Z Haut-u Geschl
Krankh 32:33–44, 1962
Moynahan’s syndrome – lentigines, congenital mitral stenosis,
dwarfism, mental retardation, genital hypoplasia
Ghatan p.6,
2002, Second Edition
Multiple mucosal neuroma syndrome (MEN IIB) – perioral or
periocular hyperpigmentation, lentigines, or freckles
NAME/LAMB syndromes; MEN IIA – hyperkeratosis and
hyperpigmentation in localized pruritic patch between the
scapulae
JAAD 42:939–969, 2000
Neurofibromatosis, including enlarging hyperpigmented plaque;
plaque type neurofibroma
AD 140:751–756, 2004
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