title: Addisonian pigmentation of the oral mucosa.
abstract: Cutaneous pigmentation is a hallmark of Addison disease. When present, the hyperpigmentation generally localizes to sun-exposed surfaces. This case highlights a less well-recognized cutaneous feature that is pathognomonic for the disease: oral mucous membrane hyperpigmentation. We describe this unique type of discoloration in detail and contrast it with other forms of oral pigmentation.
authors.affiliation: Department of Pediatrics, Children's Hospital of Philadelphia, Pennsylvania 19104, USA.
authors.forename: Samir S
authors.initials: SS
authors.lastname: Shah
authors.forename: Catherine H
authors.initials: CH
authors.lastname: Oh
authors.forename: Susan E
authors.initials: SE
authors.lastname: Coffin
authors.forename: Albert C
authors.initials: AC
authors.lastname: Yan
mesh_terms: D000224:Addison Disease / Q000150:complications / Q000175:diagnosis*; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D017495:Hyperpigmentation / Q000150:complications*; D009059:Mouth Diseases / Q000150:complications*; D009061:Mouth Mucosa; D014060:Tongue Diseases / Q000150:complications