Lentigines

  • Presents as brown macules with increased number of melanocytes; no relationship to sunlight
  • Multiple lentigines may be associated with the following:
   
 
 
LEOPARD Syndrome
AD, PTPN11 gene, café-noir macules, EKG changes, ocular hypertelorism, pulmonary stenosis, abnormal genitalia, growth retardation, deafness
 
Carney Complex
(LAMB or NAME syndrome)
AD, PRKAR1A gene, psammomatous melanotic schwannomas, cardiac/cutaneous myxomas, blue nevi, endocrine overactivity
 
Peutz–Jeghers Syndrome
AD, STK11 gene (serine threonine kinase), mucocutaneous (oral/acral) lentigines, intestinal polyposis, ± intussusception, various malignancies
 
Laugier–Hunziker Syndrome
Mucocutaneous lentigines, longitudinal melanonychia, genital melanosis
 
Bannayan–Riley– Ruvalcaba Syndrome
AD, PTEN gene, penile > vulvar lentigines, lipomas, hemangiomas