“…Many systemic disorders are known to be associated with hyperpigmentation such as hemochromatosis, Wilson's disease, Gaucher's disease, Niemann-Pick's disease, amyloidosis, ochronosis, acanthosis nigricans, porphyria cutanea tarda, Addison's disease, Cushing syndrome, hyperthyroidism, pellagra, vitamin B 12 deficiency, folic acid deficiency, vagabond's disease, prurigo pigmentosa, mastocytosis, collagen diseases, liver dysfunction, and kidney dysfunction. Similarly, infectious diseases such as measles, syphilis, Malassezia furfur, von Recklinghausen's disease, Sotos syndrome, POEMS syndrome, Naegeli syndrome, Cantu syndrome, McCune-Albright syndrome, Watson syndrome, and Bloom syndrome have been linked to the process of melanogenesis (28)(29). Whereas melanin production has been established as a defense mechanism against environmental stresses, imbalance in pigment production has been linked to melanoma (6-7).…”