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Some outside triggers might include : Stress Injury to skin Certain medications Bacterial infection Smoking tobacco Allergies Cold, dry weather or excess sunlight Certain foods like whole milk, gluten, citrus fruits, and fatty foods Drinking alcohol List of triggers is not comprehensive and not all triggers are scientically proven

Nat Rev Neurosci 12: 284296, 2011

Zhou J, An X, Dong J, Wang Y, Zhong H, Duan L

Becker Nevus|Becker's Nevus|Linear Papular Ectodermal-Mesodermal Hamartoma|Melanosis Neviformis|Pigmented Hairy Epidermal Nevus|Pigmented Hairy Nevus of Becker|Progressive Cribriform and Zosteriform Hyperpigmentation a spectrum of neoplastic changes that occur in the conjunctiva and range from melanocytic hyperplasia through degrees of atypia to melanoma in situ