My dentist noticed hyperpigmentation of my buccal mucosa and refered me to my MD. I have also had symptoms of marked fatigue (increasing for years). I had an adrenal stimulation test last week and am waiting for the results. Over the past 3 weeks the pigmentation has spread to involve more areas of buccal mucosa. If the stimulation test is negative, what else (besides adrenal insufficiency) might be causing this?
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