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Lentigo

A lentigo (plural form: lentigines, lentigos) is a spot on the skin. It is usually darker – usually brown – than the surrounding skin. Those with fair skin are more prone to Lentigo.

Lentigo

A lentigo (plural form: lentigines, lentigos) is a well-defined, flat or slightly raised skin lesion. They are usually smaller than 5 mm in size, and are rarely solitary. Lentigines may be tan, black, or brown in colour. It is similar in appearance to a freckle. However, it doesn't darken on exposure to the sun.

People of all ages and genders can get lentigo. However, overexposure to the sun is one of the main causes of lentigo. Moreover, people with fair skin, those who tan indoors, or those who have received phototherapy or radiation therapy are also likely to exhibit lentigo.

Multiple melanocytes aggregate in a single spot and cause pigmentation. This happens to the cell layer above the basement membrane of the epidermis. Moreover, lentigines may persist or erupt suddenly and disappear.

The formation of lentigines depends on several factors like -

  • Overexposure to ultraviolet rays
  • Prolonged exposure to the sun
  • Sunburns from childhood years
  • Genetic mutations
  • Light skin, blond hair, bright eye color
  • Age and condition of the immune system
  • Immunosuppression (recipients of organ donors and AIDS patients)
  • Carriage of human papillomavirus
  • Role of hormones (during puberty, pregnancy and childbirth, as well as taking hormonal contraceptives)
  • Indoor tanning
  • Medical procedures such as radiation therapy

Do & Don't for Getting Lentigo

DO: Wear protective clothing when exposed to the sun.
DO: Use broad-spectrum sunscreen daily.
DO: Follow a healthy diet and lifestyle.

DON’T: Use tanning beds.
DON’T: Expose yourself to accidental radiation.
DON’T: Expose yourself to artificial UV light.

Types of Lentigo

1. Lentigo simplex 

This is the most common type of lentigo. It arises during childhood or early adult life. Moreover, it may disappear without treatment. Lentigo simplex occurs on the trunk area, arms and legs. This type of lentigo tends to have a dry surface. Lentigo simplex could also be a precursor to junctional nevus, a type of mole.

2. Solar lentigo 

A solar lentigo is caused by exposure to the sun's rays. It commonly occurs in people above 40. In fact, solar lentigines are common on sun-exposed areas. For instance, the face, shoulders, arms, hands, and lower legs. The sun's radiation causes the pigment cells or melanocytes in the skin to multiply. Thus, this leads to these dark pigmented lesions.

Solar lentigines have a moth-eaten outline. In fact, they may slowly enlarge in size. Solar lentigines are also known as liver spots or age spots. They may be a precursor to seborrheic keratosis, a non-cancerous, wart-like skin condition.

3. Inkspot lentigo 

Inkspot lentigo, or reticulated lentigo, occurs following a sunburn in fair-skinned individuals. Moreover, it appears as a dark brown to black irregular ink spot-like macule.

4. PUVA lentigo 

PUVA lentigo generally occurs after psoralen and ultraviolet A (PUVA) therapy. It appears on areas that have received the therapy.

5. Tanning bed lentigo

This type of lentigo occurs on areas exposed to indoor tanning beds.

6. Radiation lentigo

This type of lentigo is seen in sites exposed to accidental or therapeutic radiation. It often occurs in late-stage radiation, dermatitis as seen in epidermal atrophy and subcutaneous fibrosis.

7. Mucosal lentigo

Mucosal lentigo is a melanotic macule occurring on mucosal surfaces like the lip, vulva, penis and anus.

8. Generalized lentigines

Generalized lentigines or lentigines profusa are present on several sites of the body from early childhood. This is not associated with any syndrome.

9. Agminated lentigines

This is a rare pigment disorder. There are multiple lentigines in this case. Moreover, these have sharp demarcations in the midline. Agminated lentigines are usually associated with neurological and developmental abnormalities.

10. Patterned lentigines

Patterned lentigines are commonly observed in the certain populations. These lentigines occur in a pattern, on the face, lips, buttocks, palms, and soles.

11. Lentiginosis syndromes

While lentigines may occur independently, they may occur as part of different syndromes as well. These syndromes are usually genetic, and present at birth or arise in early childhood. Some of the syndromes that may cause lentigines are Cowden syndrome, Peutz-Jeghers syndrome, Noonan syndrome, Laugier-Hunziker, Moynahan, Xeroderma pigmentosum, Myxoma syndromes, Ruvalcaba-Myhre-Smith, and Bannayan-Zonnana syndrome.

Lentigines that exhibit the following symptoms may be malignant due to the following reasons:

  • Asymmetrical in shape
  • Uneven borders
  • Uneven pigmentation
  • Have diameters exceeding 6mm
  • Are convex and rough to touch
  • Itch
  • Inflamed

If any of these symptoms or early melanoma appear, visit a dermatologist or oncologist immediately.

Treatments of Lentigo

Benign lentigines do not pose a health risk. However, their cosmetic appearance may improve with different topical applications and medical procedures. The doctor will assess the cause, type and nature of the lentigines before recommending a treatment.

Benign lentigo

Topical applications lighten benign lentigines. For example, some of the topical applications are SPF 50+ broad-spectrum sunscreen, hydroquinone bleaching cream, alpha hydroxy acids, lotions and creams with vitamin C, and retinoids.

  1. Tretinoin cream and hydroquinone cream: These noninvasive topical creams can lighten lentigines after several months of application.
  2. Cryosurgery: This treatment is often combined with ablative therapy to freeze melanocytes with liquid nitrogen. In fact, this is the most suitable treatment for isolated lentigines.
  3. Laser treatment: Short-pulsed, pigment-specific lasers can be used to selectively destroy the pigment within the lentigo. 

Malignant lentigo 

If there are any indications that the lentigines are malignant, the following treatments may be used:

  1. Surgery 
  2. Perfusion 
  3. Chemotherapy
  4. Radiation therapy

In conclusion, it is important to consult an oncologist for malignant lentigo.

TREATMENT MODALITIES

Dermatologists will have to treat malignant lentigo with aggressive treatments. For instance, surgery, perfusion or chemotherapy. READ MORE

TREATMENT VIDEOS

TIMELINE

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Lentigo may be malignant or benign. This will be the primary factor to decide the treatment modalities.

PATIENT SPEAK

Patient Speak 36

Jaya More ,Kharadi, Pune

Treatment:Acne Pimples Date: Oct 18, 2019 Sessions: 4

“ Excellent guidance and neat treatment .”

Lentigo – Q&A

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Related Q&A’s

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Important Announcement

Covid-19

Video Consultation Service

Video Consultation Protocol
Hello Sir/Mam,

Clear Skin & HairMD Clinics team is pleased to offer ONLINE VIDEO Consultation facility to to help patients with their skin and hair problems.
Our expert Dermatologists, will discuss your queries related to Skin & Hair Problems & guide you regarding medication and care

Video Consultation  - Day & Time will be scheduled according to the mutual convenience of our Dermatologists & you, our esteemed patient.

Basic Information related to Video Consultation Sessions

  1. Counselling will be done with Prior appointment, which should be taken at least 2 days before the session
  2. Consultation session slot will be finalised post the payment confirmation from our accounts team
  3. Video Consulatation session duration - 15 min
  4. Consultation Fee for each session - Rs 700 (Payment Details are shared below for your reference)
  5. Sessions will be done through Whatsapp video call
  6. Before the session, you will need to share your Images and questions related to your skin/hair ailment on WhatsApp of our with our Patient Support Team at +91-74989 06403
  7. Images of the area should cover all sides. Images should be in good light with focus. For e.g. image of face should cover left and right side chin, forehead and cheeks. This will help us contextualise the discussion.
  8. Medicines will be prescribed as per the latest Medical Council of India guidelines for Telemedicine (March 2020) and sent over email and WhatsApp,
  9. Please understand that teleconsultation has its limitations as compared to in-person consultation. Because it is not possible to do detailed physical examination, the teleconsultation process comes with its limitations. The patient agrees with this limitations of teleconsultation. Also because of the inability for detailed physical examination, some medicines cannot be prescribed in a teleconsultation process, as per Government of India - Medical Council of India - latest Guidelines.Some dermatological diseases may require procedural interventions too along with the medicines. It is required by the patient to visit the clinic for the same. In such cases medicines may not be able to give maximum result.

Please fill the form attached or message us on  +91-77980 22622 so that we can guide you about the payment process .

In case you need any additional details, please feel free to call / mails us.

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Timeline for Lentigo

Dermatologists assess the skin with a dermatoscopy or biopsy. In fact, they determine the treatment modality based on the nature of the lentigo. Moreover, the treatment may take time. In fact, this depends on the treatment approach.

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Do & Don't for Getting Acne Scars

DO: Visit your dermatologist in the initial stages.
DO: Follow a healthy skincare regime to prevent acne.
DO: Use products that reduce inflammation and redness.
DO: Moisturise your skin.

DON’T: Over-exfoliate.
DON’T: Pop and poke your pimples.
DON’T: Try home remedies as they don’t work.
DON’T: Delay the treatment of your acne.

Do & Don't for Getting Dark Circles

DO: Use a broad-spectrum sunscreen.
DO: Use hats, scarves, and sunglasses.
DO: Eat citrus fruits.

DON’T: Avoid overexposure to the sun.
DON’T: Don't over-exfoliate.
DON’T: Avoid using home remedies.