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The macules are larger and appear more pigmented than ephelides

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Semin Fetal Neonat Med 15(3):157163 Jangaard KA, Fell DB, Dodds L, Allen AC (2008) Outcomes in a population of healthy term and near-term infants with serum bilirubin levels of 325 micromol/L (19 mg/dL) who were born in Nova Scotia, Canada, between 1994 and 2000