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Serum adrenal hormones, sex hormones, and blood glucose were all within normal ranges, and the results of adrenal computed tomography scanning were negative, and type II polyglandular autoimmune syndrome was excluded, which could cause hyperpigmentation as skin damage

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Results The average age of the cohort was 66.99 years (SD=8.41), 61.61% were female and only 20.15% had no comorbidity