“…Even though the aetiology of PFTP is still unclear, the activation of subepithelial melanophages is implicated in the hyperpigmentation of papillae 2,3,5,10,11,18-22,24,29 without any histological evidence of inflammation. 2,3,5,10,11,[19][20][21][22]24,29 However, in one case histopathology revealed an inflammatory infiltrate. 22 This reflects the different temporal stages in the evolution of PTFP, examined on biopsy.…”