“…The exact mechanism underlying IGH is unclear. Genetic factors such as HLA‐DQ3, chronic sun exposure, trauma, and autoimmunity have been suggested as causative factors 2,3,12–14 . The appearance of small and large leukodermic spots in patients irradiated with high‐intensity UVA and psoralens, over a relatively short period of time, and the finding of IGH lesions on the more exposed areas of the upper and lower extremities, raises the question of a possible role of chronic natural UV light exposure as one of the causative factors 11 .…”