Specific History

Onset

Ephelides are physiologic areas of increased pigment production that are first seen following solar exposure during the first decade of life. They are most common in people with reddish-blond hair and blue or green eye color.

Evolution of Disease Process and Skin Lesions

With increased outdoor activity freckling occurs and is limited to sun-exposed skin. The spots blossom in the spring and summer and tend to fade during the fall and winter. Usually the extent and density of ephelides reach a peak during adolescence. In middle life, they become less prominent, possibly merging with general background pigmentation.

Provoking Factors

Natural sunlight or ultraviolet light in the UVA and UVB spectrum.

Self-Medication

Self-treatment is not a problem.

Supplemental Review From General History None indicated.

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