Bluish tinge to skin5/1/2023 Trusted Links MedlinePlus: Common Infant and Newborn ProblemsĬlinical Information and Differential Diagnosis of Blue-Gray Spot (Mongolian Spot)Īshrafti MR, Shabanian R, Mohammadi M, Kavusi S. If there is a strong family history of genetic disorders along with this condition, the child's physician may decide to send blood to the lab to test for specific genetic diseases, which each have their own specific treatments. However, large and numerous spots that persist after a year of life may be associated with rare genetic disorders in a very small number of cases. There is no therapy or treatment for this diagnosis in infants because it is a harmless condition that should resolve on its own. Additionally, because this birthmark appears similarly to bruises, if you have any questions about whether or not it was present at birth, it is best to seek medical care. If the spot does not fade within the first years of life, see your child's physician. Once the diagnosis of a blue-gray spot is made, there is essentially nothing to do except observe the spot over time and wait for resolution. In very rare cases, they persist into school age years and even into adulthood. There is no self-care for blue-gray spots, though they naturally fade within the first years of life. They are present at birth and, due to their appearance, can be confused for a bruise. Signs and Symptomsīlue-gray spots may be single or multiple, and they range in size from a few millimeters to 10 centimeters or more in diameter. Additionally, full-term infants are more likely to have blue-gray spots than preterm infants. Generally, male and female infants are equally affected, although some studies suggest a slightly higher incidence of these birthmarks in males. Who's at risk?īlue-gray spots are seen in approximately 90% of African Americans and Native Americans, roughly 80% of Asians, 70% of Hispanics, and between 5–10% of whites. They are caused by collections of pigment-producing cells (melanocytes) located in a deeper layer in the skin and are the most common type of birthmark. The color of blue-gray spots ranges from deep brown to slate gray or blue-black. They can occasionally be found on the legs or shoulders of infants, but this is less common. Blue-gray spots, commonly referred to as Mongolian spots, are large flat lesions that are usually found on the lower back or buttocks of infants at birth.
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