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Diffuse Pigmentation<br>Black Gums<br>Physiologic Pigmentation<br>GUMS Procedure<br>Multifocal Pigmentation<br>Racial Pigmentation<br><br>Skin color is determined by melanin and other chromophores and is influenced by physical factors (ultraviolet radiation) and other endocrine, autocrine, and paracrine factors. Being the largest organ of the body, any aberration in skin color (hyperpigmentation and hypopigmentation) can have impact on the patientsu2019 quality of life. Hyperpigmentation may be circumscribed or diffuse. Diffuse hyperpigmentation can be multifactorial in origin; hence, a multipronged approach is needed
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