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Lentigo and Freckles (Ephelides)

melinda jean Gruber, md Reviewed 06/2021
 


BASICS

DESCRIPTION

  • Ephelides, commonly known as freckles, are one of the most frequently identified pigmented lesions seen on skin recognized by the general public.

  • These tend to occur in light-skinned ...

DIAGNOSIS

HISTORY

A lentigo simplex is a lesion that can be present at birth but may also develop at any age, whereas ephelides tend to present in childhood and solar lentigines in adulthood. Both frec...

TREATMENT

GENERAL MEASURES

  • These conditions do not require treatment as they themselves are not premalignant. However, solar lentigines occur in patients with a history of chronic UV exposure which als...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

The American Academy of Dermatology recommends that patients with a history of non-melanoma skin cancer or those at higher risk undergo a full-b...

REFERENCES

1
MedlinePlus [Internet]. Bethesda (MD): National Library of Medicine (US); [updated 2020 Jun 24]. MC1R gene; [updated 2020 Aug 18; reviewed 2018 Aug 01; cited 2021 May 10]. Available from: ...

CODES

ICD10

  • L81.2 Freckles

  • L81.4 Other melanin hyperpigmentation

SNOMED

  • 201285006 Lentigo - freckle

  • 398744007 Lentigo

  • 403536009 Ephelis

  • 398900000 Lentigo simplex

  • 72100002 Senile lentigo

CLINICAL PEARLS

  • Ephelides are small, grouped, and light to dark brown macules that are responsive to sunlight. They are often first seen during childhood in people with fair skin in areas of high sun ...

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