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Warning-sign checks

Multiple lentigines syndrome: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services for severe breathing difficulty, severe or persistent chest pain, collapse, or a person who is unresponsive.

    These symptoms can have several causes, but they require immediate assessment.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Get urgent medical help for fainting, particularly during exercise, or for a sustained fast or irregular heartbeat with dizziness.

    Routine surveillance appointments are different from urgent care.

    Do not wait for the next planned review if significant new heart symptoms develop.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine medical appointment if you notice possible features of the condition, especially many lentigines together with short stature, hearing problems, heart findings, or a family history.

    This does not confirm the diagnosis, but it may justify assessment.

The article also says

If you already have the condition, seek earlier advice for:

New breathlessness, reduced stamina, or frequent palpitations

Dizziness or near-fainting

A change in hearing

Concerns about a child's speech, learning, growth, or puberty

A skin spot that bleeds, changes rapidly, or looks unlike the others

Every sign above is quoted from the sofidex article on Multiple lentigines syndrome. If you are not sure, err upward — it is always reasonable to be checked.