RT Book, Section A1 Tannous, Zeina A1 Avram, Mathew M. A1 Tsao, Sandy A1 Avram, Marc R. SR Print(0) ID 1175822385 T1 Lentigines T2 Color Atlas of Cosmetic Dermatology, 2e YR 2011 FD 2011 PB The McGraw-Hill Companies, Inc. PP New York, NY SN 9780071635035 LK dermatology.mhmedical.com/content.aspx?aid=1175822385 RD 2024/04/23 AB There are two major types of lentigines: lentigo simplex and solar lentigos. They are benign lesions. Although both are clinically identical, they appear in entirely different clinical settings. Lentigo simplex typically first present in childhood as multiple well-demarcated, brown or black macules that can appear on any part of the skin or mucous membranes. They are clinically indistinguishable from junctional nevi. There is no association with sun exposure in this type of lentigo. In contrast, solar lentigos, more commonly known as “liver spots,” are well-defined, brown macules that appear on sun-exposed skin of adults. They increase in number with age. They most often appear on the dorsal hands, shoulders, and face of lightly pigmented and red-haired patients.