Diagnosis of<unk>  is by a complete history taken by the clinician followed by a thorough clinical examination. Management of such lesions is typically by close clinical monitoring, photographs and measuring tools. A biopsy may be indicated where the following features are present: large or new-pigmented lesions and those with a papular appearance or irregular colouration.
Oral pigmentation
Nipple pigmentation
Breast hypertrophy
Hypopigmentation
Trichomegaly
Blue nails
Tooth discoloration
Green nails