“…Chrysiasis from prolonged treatment with gold salts can appear similar; however, only in localized argyria have findings of pseudo-ochronosis been reported. [1][2][3][4][5]7 Ochronosis, either endogenous due to inherited alkaptonuria or exogenous due to the application of topical hydroquinone, results from the accumulation of homogentisic acid. 3,8 The color "ochre" is variable, with red, yellow, orange, purple, or brown tones, as it is a pigment derived from iron-rich rocks that are ground and manipulated into a pigment powder.…”