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Figure 1: (a) Ochronosis in case 1 showing grayish brown macules with interspersed "confetti like" depigmented macular areas with erythema on the cheeks. (b) Close-up view showing speckled pattern of hyperpigmentation with a coarse texture and pinpoint, dark brown papules. (c) Bluish grey to brown macules and papules with interspersed "confetti like" depigmented macular areas. (d) Tiny pinpoint caviar like brown papules with telangiectasia. (e) Methylene blue staining showing ochronotic fi bers stained dark blue. (f) Characteristic short, stout, curvilinear, "banana-shaped," ochre-colored fi bers of varying thickness in the papillary and upper dermis

Figure 1: (a) Ochronosis in case 1 showing grayish brown macules with interspersed