Pigmentation skin disorders Quiz: Ace Your Exams
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A 15-year-old girl comes to her outpatient provider for a routine visit. The patient has no acute complaints but reports noticing new hyperpigmented lesions on her face. She is currently in high school and is performing well in her classes. Temperature is 37.1°C (98.8°F), blood pressure is 110/71 mmHg, and pulse is 85/min. Physical examination reveals the following findings:

Reproduced from: Wikimedia Commons
The remainder of the patient’s physical examination is noncontributory. Which of the following best describes the cause of this patient’s skin findings?

Reproduced from: Wikimedia Commons
The remainder of the patient’s physical examination is noncontributory. Which of the following best describes the cause of this patient’s skin findings?
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