preferred_name: Hyperpigmented spots on hands (especially palms), arms, feet (especially plantar areas), legs, and lips
preferred_name_lc: hyperpigmented spots on hands (especially palms), arms, feet (especially plantar areas), legs, and lips
label: Hyperpigmented spots on hands (especially palms), arms, feet (especially plantar areas), legs, and lips
label_lc: hyperpigmented spots on hands (especially palms), arms, feet (especially plantar areas), legs, and lips