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The Various Reasons Behind Diffuse Pigmentation

The Many Causes of Diffuse Pigmentation

Diffuse Pigmentation is a common skin condition that affects many people around the world. It is characterized by an uneven distribution of melanin, resulting in patches of darker skin that can appear on any part of the body, including the gums. While there are various causes of Diffuse Pigmentation, it is important to understand the possible underlying factors in order to find the most effective treatment. In this blog post, we’ll explore the many causes of Diffuse Pigmentation.

Diffuse Pigmentation
Diffuse Pigmentation


Genetics play an important role when it comes to the development of diffuse pigmentation. In some cases, the cause of the darker skin areas can be traced back to one’s ancestors and genetic makeup. There are three main types of pigmentation related to genetics: racial pigmentation, ethnic pigmentation, and multifocal pigmentation.

Racial pigmentation is found among those with African or Asian heritage. Those with African heritage tend to have a naturally darker skin tone and are more likely to experience diffuse pigmentation due to higher levels of melanin production. Meanwhile, those with Asian heritage often have lighter skin tones, making them more prone to developing multifocal pigmentation in areas such as the gums.

Ethnic pigmentation occurs more commonly among individuals with Latinx backgrounds due to the high levels of melanin production. Ethnic pigmentation can also be seen in other ethnicities, though it is less common. This type of pigmentation may lead to diffuse pigmentation on the gums and other parts of the body.

Lastly, multifocal pigmentation is caused by small patches of pigment that appear randomly on the skin. This type of pigmentation is also seen in those with African or Asian heritage and can cause areas of diffuse pigmentation on the gums.

No matter the cause, diffuse pigmentation can be a nuisance for many people and can even affect one’s self-confidence. Fortunately, there are treatments available that can help reduce and even eliminate the appearance of diffuse pigmentation.

Hormonal Imbalance

Hormonal imbalance can be a major cause of diffuse pigmentation. This form of pigmentation affects the skin, mucous membranes and is most often found in certain ethnic groups. The most common condition is called Multifocal Pigmentation, which is darker patches of skin appearing randomly on the body. People of African, Caribbean or Middle Eastern descent are more likely to experience diffuse pigmentation due to their racial and ethnic pigmentation.

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Hormonal imbalances, such as an underactive thyroid (hypothyroidism) or an overactive thyroid (hyperthyroidism) can lead to the appearance of diffuse pigmentation. Other hormones associated with the condition are estrogen, progesterone and testosterone. High levels of these hormones can affect the production of melanin, leading to an increase in pigmentation. Additionally, medications taken for hormonal imbalances can also trigger the appearance of diffuse pigmentation.

For people with hormonal imbalances, it is important to maintain a regular routine of hormone replacement therapy and monitor any changes to the skin. With proper diagnosis and treatment, diffuse pigmentation caused by hormonal imbalance can be effectively managed.


Diffuse pigmentation can occur during pregnancy. Hormonal fluctuations in a pregnant woman’s body can lead to increased melanin production. This can cause areas of darker skin on the body, including the gum area. Additionally, a type of melanin pigmentation known as multifocal pigmentation can occur on the lips, cheeks, chin and forehead. It is more common in women of color or those with ethnic or racial pigmentation. While this type of pigmentation is not harmful, it can affect a woman’s self-confidence if it appears on her face. It is important to note that diffuse pigmentation will fade after pregnancy.


Menopause is a natural stage in a woman’s life, but it can have many unexpected effects on the body. One of these is the development of diffuse pigmentation, where patches of darker skin appear on the gum area. Multifocal pigmentation, racial pigmentation, and ethnic pigmentation may also be seen due to menopause. The fluctuations in hormone levels that occur during menopause can cause changes in the pigmentation of the skin, leading to more pigment being produced in certain areas. This results in an uneven tone and discoloration. To treat this form of pigmentation, it is important to maintain a healthy lifestyle and manage stress levels. If necessary, topical treatments such as lightening creams can be used to reduce the visibility of pigmentation.

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Birth Control Pills

Birth control pills can cause diffuse pigmentation, multifocal pigmentation, and racial or ethnic pigmentation. The hormones present in the pills can increase the body’s production of melanin, which is responsible for skin pigmentation. In some cases, these hormones can lead to an increased concentration of melanin in certain areas of the body, including the gums. This can lead to darkening of the gums, which is known as diffuse pigmentation. It is important to note that birth control pills are not the only factor that can cause this type of pigmentation; other factors such as genetics and hormones can also be involved. It is important to speak to your doctor if you notice changes in your gum color, as they may suggest that you switch to a different type of birth control pill.

Skin Ailments

Many skin ailments can lead to diffuse pigmentation in the gum area, such as eczema, psoriasis, and vitiligo. Eczema is an inflammatory condition of the skin that leads to dryness, itchiness, and red patches that may also be filled with fluid. Psoriasis is a chronic skin condition characterized by patches of abnormally thick and inflamed skin with silvery scales. Vitiligo is an autoimmune disorder that causes a loss of skin pigment in blotches or areas of discoloration.

Diffuse pigmentation can also be caused by racial or ethnic pigmentation. Racial pigmentation is when certain racial or ethnic groups are prone to have darker patches in certain areas due to higher amounts of melanin. Ethnic pigmentation is caused by environmental factors or lifestyle habits such as smoking, sun exposure, poor nutrition, and hormonal changes.

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Lastly, multifocal pigmentation can be a sign of an underlying medical condition, like Addison’s disease, which causes the adrenal glands to produce lower levels of cortisol, leading to darker patches on the skin.

No matter the cause, diffuse pigmentation can cause embarrassment and anxiety for those who suffer from it. It’s important to understand the possible causes and treat them accordingly to improve one’s confidence and quality of life.

Diffuse Pigmentation
Diffuse Pigmentation


Smoking can cause diffuse pigmentation on the gums and other areas of the body. In smokers, diffuse pigmentation can also occur in a multifocal form, which is when multiple areas of the skin become darker than normal. This form of pigmentation is more common among people of African descent and other racial or ethnic groups. It is not only caused by smoking but also by exposure to smoke and other toxins in the environment. Smoking may also have a role in the development of racial or ethnic pigmentation as well. It is important to note that smoking should be avoided, as it has been linked to a variety of health problems, including oral health issues such as gum disease and tooth decay. If you are a smoker, quitting smoking can help reduce the appearance of diffuse pigmentation in the gums and other areas of the body.

Poor Nutrition

Poor nutrition can have a major effect on the health of your gums. If you don’t get enough vitamins, minerals, and other essential nutrients, your gums may not be able to fight off bacteria, leading to infections. This can cause diffuse pigmentation in the gum area, as well as other forms such as multifocal pigmentation and racial or ethnic pigmentation. Eating a balanced diet and getting the right amounts of essential vitamins and minerals can help ensure your gums remain healthy and free from pigmentation issues.

If you want more utilization you can use the following links:

Multifocal Pigmentation

Racial Pigmentation

Physiologic Pigmentation

Ethnic Pigmentation