“…Among them, environmental influences, such as temperature variations, relative air humidity, altitude and excessive sun light exposure, have been blamed 5,12 . More recently, clinical evidence has shown that the damage caused by ultraviolet (UV) radiation may also be implicated, considering that excessive skin irritation induces inflammatory reactions, and that the direct action of sunlight over melanocytes modify their function, leading to a decrease in the intensity of colour in PA lesions 6,13 . Skin dryness observed in PA patients may also be induced by inappropriate use of soap and abrasives, and very long and hot baths 1,2 , 5,6 , 13,14 .…”