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Intermediate Technical IVT

Ephelides

Pronunciation: ef-eh-LY-deez

The clinical term for freckles — small, flat, tan or light-brown macules caused by localised increases in melanin production in response to UV exposure, without an increase in melanocyte number.

Full Definition

Ephelides (singular: ephelis) are benign pigmented macules that arise on sun-exposed skin, particularly in individuals with Fitzpatrick skin types I and II. Unlike lentigines, ephelides fade with reduced UV exposure, reflecting their UV-dependent melanin production rather than melanocyte proliferation. In editorial contexts the singular 'ephelis' is rarely encountered; the plural 'ephelides' predominates. Editors should note that ephelides are frequently confused with lentigines (solar lentigines in particular), which are UV-independent and do not fade. The term appears in photodermatology, genetics, and cosmetic dermatology literature.

Usage

Usage note: Plural 'ephelides', singular 'ephelis'. Do not confuse with lentigines, which are UV-independent. Avoid the informal 'freckles' in formal clinical documents.

In Context

  • "The child's ephelides were most prominent on the nose and cheeks during summer." — Paediatric dermatology outpatient letter
  • "The author had used 'ephelidis' as the plural; the editor corrected this to 'ephelides'." — Journal manuscript copyedit

Also known as

freckles

Don't confuse with

lentigines solar lentigo café-au-lait macules

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