It can occur due to: Sun damage Post-inflammatory changes (acne scars, skin injuries) Certain skin conditions Unlike melasma, hyperpigmentation can appear anywhere on the body and is not always symmetrical

101.3 Measuring What Matters in Primary Care: Health-Related Quality of Life and Its Predictors Among Users of Public Primary Care Clinics in Singapore Using the EQ-5D-5L Ling Jie Cheng 1 , Qin Xiang Ng 2 , Guang Jie Justin Lee 2 , Gerald Choon Huat Koh 3 , Nan Luo 3 1 National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK, 2 Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore, 3 Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore Journal of Patient-Reported Outcomes 2026 , 10(Suppl 1) :101.3 Aims Health-related quality of life (HRQoL) is increasingly recognised as a key outcome in healthcare delivery, particularly in primary care settings where multimorbidity is rising
It's like having a fire alarm that's been beeping for so long, you've learned to ignore itbut the smoke is still causing damage
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