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Mongolian blue spots

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Contents of this page:

Illustrations

Mongolian blue spots
Mongolian blue spots
Neonate
Neonate

Alternative names    Return to top

Mongolian spots; Congenital dermal melanocytosis; Dermal melanocytosis

Definition    Return to top

Mongolian spots are flat bluish to bluish gray skin markings that commonly appear at birth (or shortly thereafter).

Causes, incidence, and risk factors    Return to top

Mongolian blue spots are common among darker skinned races, such as Asian, East Indian, and African. They are flat, pigmented lesions with nebulous borders and irregular shape. They appear commonly at the base of the spine, on the buttocks and back, and also can appear as high as the shoulders and elsewhere. Mongolian spots are benign skin markings and are not associated with any conditions or illnesses.

Occasionally, Mongolian blue spots are mistaken for bruises and questions about child abuse arise. It is important to recognize that Mongolian blue spots are birthmarks, NOT bruises.

Symptoms    Return to top

Other

Signs and tests    Return to top

Examination of the skin is sufficient to determine that the spots are Mongolian blue spots. No testing is necessary.

Treatment    Return to top

No treatment is necessary or recommended.

Expectations (prognosis)    Return to top

The bluish discoloration often fades in a few years and is almost universally gone by adolescence.

Complications    Return to top

There are no complications.

Calling your health care provider    Return to top

All birthmarks should be examined by the health care provider during a routine newborn examination.

Update Date: 10/27/2003

Updated by: Jeffrey Drayer, M.D., Dermatologist, Los Angeles, CA. Review provided by VeriMed Healthcare Network.

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