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Updated: May 1, 2026

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Pharmacologic Induction of Epidermal Melanin and Protection Against Sunburn in a Humanized Mouse Model
Published on: September 7, 2013
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Oral pigmentation in McCune-Albright syndrome
Dominique C Pichard1, Alison M Boyce2, Michael T Collins3
1Department of Dermatology, Georgetown University Hospital/Washington Hospital Center, Washington, DC.
JAMA Dermatology
|March 28, 2014
Summary
Oral pigmentation is an underrecognized feature of McCune-Albright syndrome (MAS). Recognizing this finding can aid in the earlier clinical diagnosis of MAS, especially in children and young adults.
Area of Science:
- Endocrinology
- Genetics
- Dermatology
Background:
- McCune-Albright syndrome (MAS) is a rare genetic disorder characterized by café au lait spots, polyostotic fibrous dysplasia, and hyperfunctioning endocrinopathies.
- Oral lentigines are not typically associated with MAS, making it an underrecognized clinical manifestation.
Observation:
- This study presents four patients with MAS who developed oral mucosal pigmentation between childhood and early adulthood.
- All patients exhibited characteristic MAS features, including endocrinopathies and café au lait pigmentation.
Findings:
- Oral pigmentation is an underrecognized finding in McCune-Albright syndrome.
- This manifestation typically appears later in development compared to other mucosal lentiginosis syndromes.
Implications:
- Expanding the recognized phenotype of MAS to include oral pigmentation can aid in earlier clinical diagnosis.
- This finding broadens the differential diagnosis for syndromes presenting with oral pigmentation.
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