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6 Suppl:28998 Cramer SF (1988) The melanocytic differentiation pathway in congenital melanocytic nevi: theoretical considerations

However, intraorally, hyperpigmentation is more typically a consequence of physiologic, idiopathic sources, neoplasia, medications, high serum concentrations of pituitary adrenocorticotropic hormone (ACTH), postinflammatory changes, and genetic or autoimmune disorders