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Hyperpigmentation is a common, usually harmless condition in which patches of
skin become darker in color than the normal surrounding skin. This darkening
occurs when an excess of melanin, the brown pigment that produces normal skin
color, forms deposits in the skin. Hyperpigmentation can affect the skin color
of people of any race.
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Age or "liver" spots are a common form of hyperpigmentation.
They occur due to sun damage, and are referred to by doctors as solar
lentigines. These small, darkened patches are usually found on the hands and
face or other areas frequently exposed to the sun.
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Melasma or chloasma spots are similar in appearance to age spots
but are larger areas of darkened skin that appear most often as a result of
hormonal changes. Pregnancy, for example, can trigger overproduction of melanin
that causes the "mask of pregnancy" on the face and darkened skin on the
abdomen and other areas. Women who take birth control pills may also develop
hyperpigmentation because their bodies undergo similar kind of hormonal changes
that occur during pregnancy. If one is really bothered by the pigment, the
birth control pills should be stopped.
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Changes in skin color can result from outside causes. For example, skin
diseases such as acne may leave dark spots after the condition clears. Other
causes of dark spots are injuries to the skin, including some surgeries.
Freckles are small brown spots that can appear anywhere on the body, but are
most common on the face and arms. Freckles are an inherited characteristic.
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Freckles, age spots, and other darkened skin patches can become darker or more
pronounced when skin is exposed to the sun. This happens because melanin
absorbs the energy of the sun's harmful ultraviolet rays in order to protect he
skin from overexposure. The usual result of this process is skin tanning, which
tends to darken areas that are already hyperpigmented. Wearing a sunscreen is a
must. The sunscreen must be "broad spectrum" (i.e. it blocks both ultraviolet A
and B). A single day of excess sun can undo months of treatment.
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