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except for an occasional sunblock

This matters for how you interpret the literature

4 Actinic lentigo Clinical features Actinic lentigines (also known as lentigo senilis, solar lentigo, senile freckle, senile lentigo, liver spot) are benign, irregular, macular lesions that commonly develop on sun-damaged skin of the middle aged and elderly, and are therefore most numerous on the face and dorsal aspects of the hands and forearms (Figs 25.13, 25.14)

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Focusing on symptom profiles, only higher AES scores were linked to lower C2 ( = 0.05, SE = 0.02, p = 1.85e-2) and higher C3 ( = 0.08, SE = 0.02, p = 3.41e-5) levels