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William R Swindell Department of Dermatology, University of Michigan School of Medicine, Ann Arbor, United States Contribution WRS, Acquisition of data, Analysis and interpretation of data, Drafting or revising the article, Contributed unpublished essential data or reagents Competing interests The authors declare that no competing interests exist

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Hyperpigmentation occurs when patches of skin become darker than the surrounding areas, typically due to an excess production of melanin