A 44-year-old woman presented with hyperpigmented, thickened, velvety-like skin on the nape of the neck of one year duration. Recently gastric adenocarcinoma was detected on gastroscopic biopsy.

           A 10-year-old girl presented with bilateral symmetrical acral hyperpigmentation and depigmentation in a reticulate pattern started since infancy. She had no similar family history.
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