{"id":7565,"date":"2020-04-25T00:32:55","date_gmt":"2020-04-25T03:32:55","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/manchas-marrones-y-pecas\/"},"modified":"2020-04-27T16:07:37","modified_gmt":"2020-04-27T19:07:37","slug":"brown-spots-and-freckles-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/","title":{"rendered":"Brown spots and freckles"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#Cancer-de-piel\" >Skin cancer<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#%C2%BFQue-son-las-manchas-marrones-y-las-pecas\" >What are brown spots and freckles?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#%C2%BFQuien-contrae-ephelides\" >Who gets ephelides?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#%C2%BFQue-causa-las-ephelides\" >What causes ephelides?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-las-ephelides\" >What are the clinical characteristics of ephelides?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#Pecas\" >Freckles<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#%C2%BFQue-son-los-lentigos\" >What are lentigos?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#%C2%BFQuien-recibe-lentigos\" >Who gets lentigos?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#%C2%BFQue-causa-los-lentigos-solares\" >What Causes Solar Lentigos?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-los-lentigos-solares\" >What are the clinical characteristics of solar lentigos?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#Lentigos\" >Lentigos<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#%C2%BFComo-se-diagnostican-las-manchas-marrones-y-las-pecas\" >How are brown spots and freckles diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#Cual-es-el-diagnostico-diferencial-para-pecas-y-lentigos-solares\" >What is the differential diagnosis for freckles and solar lentigos?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#Otras-marcas-marrones\" >Other brown brands<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#%C2%BFCual-es-el-tratamiento-para-las-manchas-marrones-y-las-pecas\" >What is the treatment for brown spots and freckles?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#Prevencion-de-marcas-marrones\" >Prevention of brown marks<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#Tratamiento-de-marcas-marrones\" >Treatment of brown marks<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/manchas-marrones-y-pecas\/#Efecto-del-tratamiento\" >Treatment effect<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<div class=\"cmsBlock\">\n<div class=\"cmsBlock__shortcode\">\n<section class=\"textBlock\">\n<p><img alt='miiskin-3-2-133__scalewidthwzewmf0-8268734-6234750' class=\"right\" title=\"\" src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/miiskin-3-2-133__ScaleWidthWzEwMF0-8268734.jpg' width=\"100\" height=\"100\"><\/p>\n<blockquote>\n<p style=\"text-align: center;\"><em>Ad<\/em><\/p>\n<h4><span class=\"ez-toc-section\" id=\"Cancer-de-piel\"><\/span>Skin cancer<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p><strong>Application to facilitate skin self-examination and early detection<\/strong>. <strong><span style=\"text-decoration: underline;\">read more<\/span>.<\/strong><\/p>\n<\/blockquote>\n<\/section>\n<div class=\"clearfix\"><\/div>\n<\/div>\n<div class=\"cmsBlock__title\">Text: Miiskin.<\/div>\n<\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-son-las-manchas-marrones-y-las-pecas\"><\/span>What are brown spots and freckles?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Brown spots and freckles in the sun<span class=\"term\" data-term-id=\"311\">exposed skin<\/span> are ephelides (the plural of ephelis) and <span class=\"term\" data-term-id=\"1394\">lentigines<\/span> (the plural of <span class=\"term\" data-term-id=\"1392\">lentigo<\/span>) The difference between an ephelis and a lentigo is that an ephelis fades during the winter months, while a lentigo persists in the absence of ultraviolet (<span class=\"term\" data-term-id=\"1910\">UV<\/span>) stimulation. Ephelides and lentigos can occur in the same individuals, and the risk factors for both are generally the same.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-ephelides\"><\/span>Who gets ephelides?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ephelides are very common in fair-skinned people, especially children with redness. <span class=\"term\" data-term-id=\"122\">hair<\/span>, where he <em>MC1R<\/em> <span class=\"term\" data-term-id=\"774\">gene<\/span> it is believed to be the main gene involved. They are an inherited trait that sometimes also affects people with darker skin types.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-las-ephelides\"><\/span>What causes ephelides?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>An ephelis is brown due to the <span class=\"term\" data-term-id=\"231\">pigment<\/span> <span class=\"term\" data-term-id=\"180\">melanin<\/span>. Melanin is made by <span class=\"term\" data-term-id=\"181\">melanocytes<\/span> and disseminated in <span class=\"term\" data-term-id=\"1069\">keratinocytes<\/span>. The production of melanin by melanocytes decreases during the winter months and increases when the skin is exposed to UV radiation in sunlight. The color is due to the <span class=\"term\" data-term-id=\"324\">located<\/span> accumulation of melanin in keratinocytes. There is no increase in melanocytes.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-las-ephelides\"><\/span>What are the clinical characteristics of ephelides?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ephelides arise on an individual&#039;s midface and sometimes more widely from early childhood onward. As a person ages, this type of freckle generally becomes less noticeable. They are more prominent in summer but fade considerably or disappear in winter. An ephelis is usually less than 3 mm in diameter.<\/p>\n<p>Apart from the need for sun protection, no particular treatment is necessary.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Pecas\"><\/span>Freckles<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='freckle2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-7231996-8983502' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/freckle2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-7231996.jpg'>\n<\/div>\n<p class=\"p-small\">Freckles<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='freckle1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-4413839-3097320' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/freckle1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-4413839.jpg'>\n<\/div>\n<p class=\"p-small\">Freckles<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='freckle7__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildqyxq-1363495-5028101' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/freckle7__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDQyXQ-1363495.jpg'>\n<\/div>\n<p class=\"p-small\">Freckles<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-son-los-lentigos\"><\/span>What are lentigos?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Lentigos are flat brown lesions with a clearly defined border. The most common type, solar lentigos, arise in middle age and result from sun damage. They are most often found on the face and hands, and are larger and more defined than freckles. Other types of lentigo include ink-stained lentigo and simple lentigo.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-recibe-lentigos\"><\/span>Who gets lentigos?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Lentigos are common in people with fair skin, but they also frequently arise in sun-exposed places in people who tan easily or have naturally dark skin. Lentigos are common after the age of 40, but they can also occur in younger people.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-los-lentigos-solares\"><\/span>What Causes Solar Lentigos?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Solar lentigines are caused by UV radiation from sun exposure or other forms of UV radiation, such as that involved in medical treatment (for example, phototherapy) or the use of tanning beds. In <span class=\"term\" data-term-id=\"24\">biopsy<\/span>, a solar lentigo has a <span class=\"term\" data-term-id=\"893\">proliferation<\/span> keratinocytes, which form <span class=\"term\" data-term-id=\"819\">challenge<\/span> pegs, and often there is also an increase in the number of melanocytes.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-los-lentigos-solares\"><\/span>What are the clinical characteristics of solar lentigos?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Solar lentigos tend to persist for long periods and do not disappear in the winter, although they can fade. They vary in size from a few millimeters to several centimeters in diameter. The color tends to be uniform throughout the <span class=\"term\" data-term-id=\"164\">injury<\/span>, with a yellowish or grayish light brown tone. The edge of the lesion is clearly defined, and an irregular edge can give it a scalloped shape. They may have a dryness or a little <span class=\"term\" data-term-id=\"385\">scaly<\/span> surface.<\/p>\n<p>One or more <span class=\"term\" data-term-id=\"378\">seborrheic<\/span> <span class=\"term\" data-term-id=\"1596\">keratosis<\/span> it can arise from a solar lentigo.<\/p>\n<p>It is important to distinguish a harmless but <span class=\"term\" data-term-id=\"1395\">atypical<\/span> solar lentigo from early <span class=\"term\" data-term-id=\"176\">evil one<\/span> <span class=\"term\" data-term-id=\"1670\">melanoma<\/span> and its subtypes, lentigo maligna and lentiginous melanoma. Lesions that are clinical, dermoscopic, or <span class=\"term\" data-term-id=\"1669\">histologically<\/span> atypical must be completely removed surgically <span class=\"term\" data-term-id=\"848\">excision<\/span> with <span class=\"term\" data-term-id=\"1401\">pathological examination<\/span>.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Lentigos\"><\/span>Lentigos<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='freckle6__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-9015458-3615112' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/freckle6__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-9015458.jpg'>\n<\/div>\n<p class=\"p-small\">Lentigos<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='freckle3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2442416-7791786' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/freckle3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2442416.jpg'>\n<\/div>\n<p class=\"p-small\">Lentigos<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='freckle4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7064842-5165589' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/freckle4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7064842.jpg'>\n<\/div>\n<p class=\"p-small\">Lentigos<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostican-las-manchas-marrones-y-las-pecas\"><\/span>How are brown spots and freckles diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Most ephelides and lentigos can be easily diagnosed clinically by a healthcare professional trained in examining the skin. If there is any doubt about whether a brown mark can be <span class=\"term\" data-term-id=\"30\">Cancer<\/span>, the lesion can be monitored (with digital dermoscopic surveillance) or excised for pathological examination.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cual-es-el-diagnostico-diferencial-para-pecas-y-lentigos-solares\"><\/span>Which is the <span class=\"term\" data-term-id=\"813\">differential diagnosis<\/span> for freckles and solar lentigines?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A brown mark can also be an actinic keratosis (sun damage) or a seborrheic <span class=\"term\" data-term-id=\"1595\">keratosis<\/span> (senile wart) in which there is <span class=\"term\" data-term-id=\"1824\">proliferations<\/span> keratinocytes. Actinic and seborrheic keratoses tend to be more scaly and thickened than solar lentigos. Facial <span class=\"term\" data-term-id=\"1521\">pigmentation<\/span> It may also be due to melasma, a <span class=\"term\" data-term-id=\"319\">chronic<\/span> pigmentation disorder<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Otras-marcas-marrones\"><\/span>Other brown brands<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='pigmented-sk1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8821112-3744371' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/pigmented-sk1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8821112.jpg'>\n<\/div>\n<p class=\"p-small\">Actinic keratosis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='pigmented-sk2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-9173094-9770361' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/pigmented-sk2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDM2XQ-9173094.jpg'>\n<\/div>\n<p class=\"p-small\">Actinic keratosis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='seborrhoeic-k1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8074209-2487506' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/seborrhoeic-k1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8074209.jpg'>\n<\/div>\n<p class=\"p-small\">Seborrheic keratosis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-las-manchas-marrones-y-las-pecas\"><\/span>What is the treatment for brown spots and freckles?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Prevencion-de-marcas-marrones\"><\/span>Prevention of brown marks<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Not all brown marks on the skin can be prevented. Careful sun protection will reduce the number of new solar lentigos. Staying out of the sun and wearing sunscreen clothing is much more effective than wearing sunscreen alone. Sunscreens should have a high sun protection factor (SPF 50+) and good broad spectrum coverage, and should be applied liberally and frequently.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Tratamiento-de-marcas-marrones\"><\/span>Treatment of brown marks<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Brown marks can fade with careful sun protection, such as applying a broad spectrum sunscreen daily. Regular applications of anti-aging or discoloration creams can also help.<\/p>\n<p>These may contain hydroquinone or antioxidants such as:<\/p>\n<ul>\n<li>Alpha hydroxy acids<\/li>\n<li>Vitamin C<\/li>\n<li><span class=\"term\" data-term-id=\"762\">Retinoids<\/span><\/li>\n<li>Cysteamine<\/li>\n<li>Resveratrol<\/li>\n<li>Vitamin E<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1884\">Tyrosinase<\/span> inhibitors such as:<\/li>\n<ul>\n<li>Arbutin - natural hydroquinone<\/li>\n<li>Azelaic acid<\/li>\n<li>Kojic acid.<\/li>\n<\/ul>\n<li>\n<span class=\"term\" data-term-id=\"1882\">Melanosoma<\/span> inhibitors such as niacinamide (B3).<\/li>\n<\/ul>\n<p>Brown marks can be removed more quickly and effectively by chemical peels, <span class=\"term\" data-term-id=\"1145\">cryotherapy<\/span>, or certain pigment lasers that target melanin in the skin. Multiple treatments are often necessary.<\/p>\n<p>Suitable green light devices to remove <span class=\"term\" data-term-id=\"846\">epidermal<\/span> pigment includes:<\/p>\n<ul>\n<li>Pulsed dye pulsed with flash <span class=\"term\" data-term-id=\"1617\">To be<\/span>\n<\/li>\n<li>Doubled frequency <span class=\"term\" data-term-id=\"1405\">Q-Switched<\/span> neodymium laser: yttrium-aluminum-garnet (Nd: YAG).<\/li>\n<\/ul>\n<p>Suitable red light devices that can be used to remove epidermal pigment include:<\/p>\n<ul>\n<li>Q-Switched Alexandrite Laser\n<\/li>\n<li>Q-changed ruby laser.<\/li>\n<\/ul>\n<p>Intense pulsed light has a similar effect. Carbon Dioxide and Erbium Lasers: YAG laser lasers vaporize the skin from the surface, thereby removing <span class=\"term\" data-term-id=\"1520\">pigmented<\/span> Injuries A fractional laser can also be effective. More recently, picosecond lasers have begun to be used to remove epidermal pigment.<\/p>\n<p>The results of laser and light treatment are variable, but are sometimes very impressive with minimal risk of scarring.<\/p>\n<p>With surface resurfacing techniques, there is minimal discomfort and no downtime, but multiple treatments are often necessary. Treatment occasionally worsens pigmentation by causing <span class=\"term\" data-term-id=\"1621\">post-inflammatory<\/span> pigmentation. Continuous and careful sun protection is essential, because the pigmentation is likely to recur next summer.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Efecto-del-tratamiento\"><\/span>Treatment effect<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='freckle5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3806866-9215796' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/freckle5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3806866.jpg'>\n<\/div>\n<p class=\"p-small\">Freckles on hand before and after green laser light<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='before-cryotx__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7830483-7646765' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/before-cryotx__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7830483.jpg'>\n<\/div>\n<p class=\"p-small\">Freckles before cryotherapy<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='after-cryotx__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4625238-8102531' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/after-cryotx__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4625238.jpg'>\n<\/div>\n<p class=\"p-small\">Freckles after cryotherapy<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Anuncio C\u00e1ncer de piel Aplicaci\u00f3n para facilitar el autoexamen de la piel y la detecci\u00f3n temprana. Lee mas. Texto: Miiskin. \u00bfQu\u00e9 son las manchas marrones y las pecas? Manchas marrones&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7565","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7565","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=7565"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7565\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7565"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7565"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7565"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}