EphelidsL81.2

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 07.07.2024

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Synonym(s)

Freckles

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DefinitionThis section has been translated automatically.

Reversible pigment spots that appear after tanning and recede in the months with little sunlight, which are caused exclusively by an increase in melanin in the numerically unchanged melanocytes and keratinocytes. Their number varies, sometimes only sporadically, sometimes in dense dissemination, so that hardly any free skin areas remain between them. Their distribution is irregular, group formations are absent.

ManifestationThis section has been translated automatically.

Occurs mainly in blond and redheads.

LocalizationThis section has been translated automatically.

Especially the face (nose, cheeks, eyelids, temples), arms, shoulders and neckline.

ClinicThis section has been translated automatically.

Sharply defined, surface-smooth, spatter-like, small, grainy to lentil-sized, mostly pigmented spots, which appear in various shades of color, sometimes pale yellow, light brown, yellow-brown and finally also dark brown.

HistologyThis section has been translated automatically.

Melanin proliferation in the basal cells of the epidermis. No proliferation of melanocytes.

Differential diagnosisThis section has been translated automatically.

TherapyThis section has been translated automatically.

Not necessary. Covering if necessary, e.g. with hydrophilic skin-colored masking paste. Prophylactic: Physical light protection, in case of strong sunlight additional sunscreen.

Progression/forecastThis section has been translated automatically.

Ephelids provide indications of increased individual sensitivity to light. They fade again in winter or disappear completely.

LiteratureThis section has been translated automatically.

  1. Pradillo Martín MC et al. (2024) Multiple ephelides: Just freckles? An Pediatr 100:81-82.

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Last updated on: 07.07.2024