Clinical Application Questions

An attractive 20-year-old woman is seen at your office for multiple freckles over her face, shoulders, and dorsal surfaces of her upper extremities. They are limited to areas exposed to the sun. She desires their removal.

1. What are the primary lesions that you would expect to find in ephelides?

2. What should you tell the patient about removing ephelides?

3. What should you tell the patient about her prognosis?

4. Should this patient be warned about skin cancer?

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