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=== Hyperpigmentation === Increased melanin production, also known as [[hyperpigmentation]], can be a few different phenomena: * [[Melasma]] describes the darkening of the skin. A type of Melasma is [[Chloasma]], the skin discolorations caused by hormones. These hormonal changes are usually the result of pregnancy, birth control pills or estrogen replacement therapy. * [[Solar lentigo]], also known as "liver spots" or "senile freckles", refers to darkened spots on the skin caused by aging and the sun. These spots are quite common in adults with a long history of unprotected sun exposure. Aside from sun exposure and hormones, hyperpigmentation can be caused by skin damage, such as remnants of blemishes, wounds or rashes.<ref>Cutis, August 2005, pp 19β23</ref> This is especially true for those with darker skin tones. The most typical cause of darkened areas of skin, brown spots or areas of discoloration is unprotected sun exposure. Once incorrectly referred to as [[liver spot]]s, these pigment problems are not connected with the liver. On lighter to medium skin tones, solar lentigenes emerge as small- to medium-sized brown patches of freckling that can grow and accumulate over time on areas of the body that receive the most unprotected sun exposure, such as the back of the hands, forearms, chest, and face. For those with darker skin colors, these discolorations can appear as patches or areas of ashen-gray skin.
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