Dermatologists use the term postinflammatory hyperpigmentation (PIH) to describe darkened skin that remains after an inflammatory disorder has subsided. But the inflammation may not always be over, and a JAMA Dermatology viewpoint argues that the term “postinflammatory” may obscure persistent disease activity, particularly in patients with darker skin tones. Dr. Jerry Tan The authors point out that hyperpigmentation can coexist with ongoing inflammation, particularly in chron