An 87-year-old non-smoking Asian woman presented with a three-year history of hyperpigmented macules on the buccal mucosa (Cover Image), tongue, maxillary edentulous alveolar ridge, hard and soft palate and lips. The macules are irregular, 4-8 mm in size and are dark brown to black in color. They are otherwise not palpable or indurated. The patient reports that they were first noticed three years ago and that they have increased in number over time.
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