Syndrome | Inheritance | Mutated gene | Clinical features related to hyperpigmentation | Comments |
Carney syndrome (NAME/LAMB syndrome) | Autosomal dominant | PRKAR1A | Nevi, ephelides lentigines, blue nevi | |
Cronkhite-Canada syndrome | Sporadic | Unknown, considered to be an idiopathic and acquired disorder | Lentigines of buccal mucosa, face, hands/feet | Typically affects older men Associated with alopecia, nail dystrophy, intestinal polyposis |
Dowling-Degos | Autosomal dominant with variable penetrance | KRT5 | Reticulated hyperpigmentation of the flexures | Associated with pitted facial scars and comedone-like lesions on the back and neck |
Dyskeratosis congenita | X-linked recessive | DKC1 | Reticulated hyperpigmentation primarily on the neck, upper chest, and upper arms | Associated with bone marrow dysfunction and predisposition to malignancy, in particular mucosal squamous cell carcinoma, leukemia, and Hodgkin's disease |
LEOPARD syndrome | Autosomal dominant | PTPN11 | Lentigines present in early infancy/childhood | Associated with EKG changes, ocular hypertelorism, pulmonary stenosis, abnormal genitalia, growth retardation, deafness |
McCune-Albright syndrome | Sporadic | GNAS1 | Café-au-lait-macules which usually appear in infancy and can overlie bony changes | Associated with polyostotic fibrous dysplasia, hyperfunction of endocrine glands, especially the gonads with precocious puberty |
Neurofibromatosis type 1 | Autosomal dominant | NF1 | Multiple café-au-lait macules Axillary or inguinal freckling | Café-au-lait macules and freckles usually precede the appearance of neurofibromas |
Peutz-Jeghers syndrome | Autosomal dominant | STK11 | Lentigines over perioral region, oral mucosa, hands | Associated with pancreatic carcinoma, ovarian/testicular tumors |
Reticulate acropigmentation of Kitamura | Autosomal dominant | ADAM10 | Atrophic, acral, lentigo-like lesions | Associated with palmoplantar and dorsal phalangeal pitting |
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