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Ephelides, Lentigo. Presented by Dr. George C. Andrews.
M. D., a 7 year old girl, had freckles at the age of 5 months. They first appeared on the right cheek and then spread to the nose and the upper lip. The right cheek now presents dark brown unilateral freckle-like spots that are probably lentigines (nevi) in addition to rather typical light brown freckles (ephelides) on the left cheek. The mother has bilateral freckles. A case of pronounced asymmetric lentigo has been reported by Adams. That this may be a variant of xeroderma pigmentosum is possible. This condition has not changed perceptibly in the last five years.
Dr. Fred Wise: The right side presents a unilateral pigmented nevus; the other side, ordinary freckles.
Dr. George M. Mackee: I do not know whether the pale macules on the left side of the face are part of the nevus or ordinary freckles.
Schwartz HJ, Andrews GC. NEW YORK DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1946;54(6):724–744. doi:10.1001/archderm.1946.01510410090013
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