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Mongolian blue spots


Definition:

Mongolian spots are flat, blue, or blue-gray skin markings near the buttocks that commonly appear at birth or shortly thereafter.

See also: Rashes

Alternative Names:

Mongolian spots; Congenital dermal melanocytosis; Dermal melanocytosis

Causes, incidence, and risk factors:

Mongolian blue spots are common among those who are of Asian, East Indian, and African descent.

Symptoms:

Mongolian spots are noncancerous skin markings and are not associated with disease. The markings may cover a large area of the back.

Occasionally, Mongolian blue spots are mistaken for bruises, which can raise a question about possible child abuse. It is important to recognize that Mongolian blue spots are birthmarks, NOT bruises.

Symptoms include:

  • Blue or blue-gray spots on the back, buttocks, base of spine, shoulders, and other body areas
  • Flat area with irregular shape and unclear edges
  • Normal skin texture
  • The spots are usually 2 - 8 centimeters wide
Signs and tests:

No tests are needed. Your doctor can diagnose this condition by looking at the skin.

Treatment:

No treatment is necessary or recommended.

Expectations (prognosis):

The spots often fade in a few years and are almost always gone by adolescence.

Complications:

There are no complications.

Calling your health care provider:

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

References:

James WD, Berger TG, Elston DM, eds. Andrews' Diseases of the Skin: Clinical Dermatology. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2011.


Review Date: 9/17/2012
Reviewed By: A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, and David. R. Eltz. Previously reviewed by Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network (5/13/2011).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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