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These flat, small lesions typically measure between 1 and 8 millimeters in diameter with well-defined borders and uniform coloration ranging from brown to grayish-brown

Skin chemistry at work

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Addisons disease usually causes diffuse hyperpigmentation of the skin and mucosa but our patient displayed the typical cobblestone pattern hyperpigmentation confined to fungiform papillae on the lateral tongue which could be considered as PFPT