Dermatology Book

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FrecklesAka: Freckle, Ephelides

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  1. Epidemiology
    1. Common occurrence in light-skinned, red-haired patients
    2. Onset in childhood
  2. Signs
    1. Characteristics
      1. Light, tan or brown Macules, each 1-2 mm with sharp demarcation
      2. Darkens with Sun Exposure
    2. Distribution
      1. Face and nose more commonly affected
      2. Neck, chest and arms are also affected
  3. Differential Diagnosis
    1. Lentigo (Lentigines)
      1. Lentigo does not darken on sunlight exposure
  4. Management
    1. Skin Cancer Prevention
      1. Sun avoidance
      2. Sunscreen
      3. Frequent skin exam
    2. Cosmetic removal
      1. Typically not needed (lesions fade in winter)
      2. Same treatments used in Lentigo may be employed for freckles
  5. References
    1. Plensdorf (2009) Am Fam Physician 79(2):109

Freckles (C0016689)

ConceptsDisease or Syndrome (T047)
MSHD008548
EnglishEphelides, Ephelis, Freckle, Freckles, Freckling, Melanotic macule
Spanishefelides, macula melanotica, pecas
Parent ConceptsCircumscribed hypermelanosis (C1274246), Skin Pigmentation Disorder (C1704421), Duplicate concept (C1274013)
SourcesCOSTAR, CST, MSH, MTH, OMIM, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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