What's Your Diagnosis? Hyperpigmented face rash

65-year-old man complains of this hyperpigmented rash on his face, which has been there for more than 2 years.

​Image appears with permission from VisualDx. © Logical Images, Inc.

 

A 65-year-old man complains of this hyperpigmented rash on his face, which has been there for more than 2 years. He has been using bleaching cream, but it has not helped.

What's your diagnosis?

A. Argyria

B. Exogenous Ochronosis

C. Arsenical Keratosis