Skin hyperpigmentation

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Skin hyperpigmentation is a classic feature of Addison's but why does it happen?

If you remember the adrenal axis, low cortisol due to an adrenal problem will mean high levels of ACTH.

Melanocyte-Stimulating Hormone (MSH) and ACTH share a common precursor so ACTH can bind to melanocytes and stimulate melanin production.