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Cumulative sun exposure is the main contributing factor Symptoms usually painless

"UV light creates free radicals that damage the skin cells and their DNA," Joshua Zeichner, director of cosmetic and clinical research in dermatology at Mount Sinai Hospital in New York City, tells Allure
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The histologic findings in an atypical lentiginous nevus may lead to a differential diagnosis with dysplastic nevus and other lentiginous melanocytic proliferations (Table 2)
