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The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
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Related Experiment Video

Updated: Jun 26, 2026

Quantification of Hypopigmentation Activity In Vitro
06:08

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Published on: March 6, 2019

Hydroxychloroquine-induced hyperpigmentation: a case report.

M A Melikoglu1, M Melikoglu, U Gurbuz

  • 1Department of Rheumatology, Physical Medicine and Rehabilitation, School of Medicine, Akdeniz University, Antalya, Turkey. mamelikoglu@gmail.com

Journal of Clinical Pharmacy and Therapeutics
|January 14, 2009
PubMed
Summary

Antimalarial drugs, including hydroxychloroquine, can cause rare bluish-grey skin discoloration. This report highlights this localized mucocutaneous hyperpigmentation side effect.

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Area of Science:

  • Pharmacology
  • Dermatology
  • Rheumatology

Background:

  • Antimalarials are widely used for malaria and rheumatoid arthritis.
  • These drugs are generally well-tolerated with known side effects.
  • Localized mucocutaneous discoloration is an infrequent adverse reaction.

Observation:

  • This report focuses on hydroxychloroquine-induced localized mucocutaneous bluish-grey hyperpigmentation.
  • A case presentation illustrates this specific side effect.
  • The study includes a review of existing literature on the topic.

Findings:

  • Hydroxychloroquine can induce localized bluish-grey to black skin and mucous membrane discoloration.
  • This finding is based on a case presentation and literature review.
  • The adverse reaction is distinct from more common antimalarial side effects.

Implications:

  • Clinicians should be aware of this potential side effect of hydroxychloroquine.
  • Early recognition can aid in managing patient expectations and treatment.
  • Further research may clarify the incidence and mechanisms of this hyperpigmentation.