“…Once thought to be confined to Japan, DUH is being increasingly reported from other countries including India. [4,5] Although majority of cases show autosomal dominant pattern of inheritance, but may be recessive or sporadically inherited. In the past, it was considered to be a disorder of melanocyte number, but now, based on a recent electron microscopic study, it has been suggested that DUH may be a disorder of production of melanosomes in epidermal melanin unit.…”