I have freckles for several years. When will they disappear?

Question

Hi doctor,

I have had two freckles of size one inch for several years. It did not cause any concern. But with the current heatwave, I am extra cautious with them.

I had previously been to a doctor several years ago, who had told me they were fine. I am not on any medications.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern. Thanks for sharing the pictures (attachments removed to protect the patient’s identity). I do not think they are freckles. I have a few differentials, and the most probable one is papular sarcoidosis. It is an inflammatory skin condition.

Another differential can be pseudolymphoma, a benign inflammatory condition with various triggers. Do you have itching or any other symptoms?

I suggest you do a skin biopsy to confirm the diagnosis. Revert with the answer to help you better.

I hope this helps.

Please revert in case of further queries.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

My differentials will be the same. Whenever in doubt or a physician cannot clinically come to one diagnosis, we keep differentials. Sarcoidosis can last for months to years.

The only way to be sure in your case is to go for a skin biopsy or histopathology. So get it whenever you can.

I hope this helps.

Please revert in case of further queries.

Thank you.