Ochronosis is a rare disease characterized by speckled and diffuse pigmentation symmetrically over the face, neck, and Paddles photo-exposed areas.It is characterized histologically by banana-shaped ochre-colored deposits in the dermis.It can present in exogenous or endogenous form.
We report a case of exogenous ochronosis in a 50-year-old Indian woman METAL after prolonged use of topical hydroquinone which is a rare complication with a commonly used drug which is available over the counter.