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By Nick Nguyen, MD, FAAP & Sheilagh M. Maguiness, MD, FAAD, FAAP

Staring at your new baby, taking in every little detail, is one of many excitement parents. Among the many unique features which you might notice is a birthmark, different places that appear on the skin that babies are born with or develop shortly after birth

There are two main types of birthmarks. Pigmented skin spots containing additional pigment (color); and blood vessels, which contain extra blood vessels are not fully formed. Both types are usually harmless, and some go on their own. But some need to be watched to ensure they do not cause problems. Be sure to talk with your pediatrician about any birthmarks or rashes you look at your baby.

Pink, red, and blue birthmarks often consists of extra blood vessels. Extra blood can make some birthmarks are vascular feels warm to touch. Vascular birthmarks may look and behave differently depending on the type of the blood vessels in it. The most common vascular birthmarks include:

birthmark nevus simplex is pink or red flat up to 80% of babies are born with. They are a collection of small, red blood vessels called capillaries. Often, this sign is located on the eyelids, forehead, back of the neck, over the head, under the nose, and lower back. Sometimes, they are called "salmon patch" sign, "stork bites" (when it was at the back of the neck) and "angel kisses" (when they are between the eyebrows).

Nevus simplex birthmarks usually will go on their own by the time your baby is a toddler. Do not worry if the birthmark gets darker when your baby becomes more emotional or active-this is normal.

Most simples nevus are completely harmless and do not require treatment. But be sure to talk with your child's doctor if they are large or located in unexpected areas.

Port wine stains are quite common, seen in about 3 in 1,000 children. They are similar to nevus simplex: flat, birthmarks pink or red consists of extra capillaries. They were also seen at birth. But this birthmark is usually larger than nevus simplex and can affect more areas of the face and body. Unlike some other birthmarks, port wine stains do not go away. They grow as your child grows, but slowly. Over time, they may become darker and thicker.

Port wine stains are usually not associated with health problems. If the birthmark affect certain parts of the face, such as eyelids and forehead, though, it may be related to a condition called Sturge-Weber syndrome. The condition is rare, but your doctor may recommend more evaluation or testing if your baby at risk.

Some children and adolescents are not bothered by their port-wine stains, while others may feel self-conscious about them. laser treatment may relieve birthmarks and help prevent some dark and thickened. But it would not "remove" birthmark in many cases.

This growth is benign, which usually appear within the first few weeks of life, are made of extra blood vessels in skin.are quite common-- found in up to 5% of infants. They usually grow rapidly, and then gradually shrink and fade. If they form near the top of the skin, they are red (and sometimes called "strawberry marks"). Deeper in the skin, they may look blue or purple, like a bruise.

Infantile hemangiomas grow the fastest in the first 5-7 weeks of life, so it is important to talk with your pediatrician about them early. Some hemangiomas may be associated with certain health problems and require testing and / or additional treatment. safe treatments available today for hemangioma problem. But these treatments generally work best when started soon after birth sign this form - usually around the age of 1 month. Talk to your pediatrician if you think your baby may have infantile hemangioma.

congenital hemangioma is present at birth. Sometimes, they can be seen during an ultrasound exam. They differ from infantile hemangioma and more rare. Type hemangiomas do not grow after birth. congenital hemangioma often look like large round or oval lumps or masses. They tend to purple to blue, but may also have small red blood vessels on the surface and a white ring around the base.

Some birthmarks is fading fast (a type of rapid involuting called congenital hemangiomas). The other type, non-involuting congenital hemangioma, do not go at all. In most cases, congenital hemangioma is not Dangerous and require no treatment. If the birthmark does not go away, it can be removed with surgery or other treatment when the child is older.

venous malformations tangles of blood vessels in the skin that do not form properly during development. Vena give this birthmark blue or purple. They are present at birth, but may not become apparent until adolescence. Blood vessels can become greater with the activities or certain positions, and they may be painful. Venous malformations are rare, affecting about 2 in 10,000 children.

These birthmarks may cause no problems at all. But treatment may be needed if the birthmark painful or affect the activity of your child. Sometimes, small clumps called phleboliths forming in the blood vessels. In most cases, these clots are harmless, but it can be difficult and cause pain. Compression clothing, medicine, surgery or procedure may be among treatment options.

Most of the venous malformations located only in the skin, but sometimes they can also be found in muscle, bone, or organ. Your doctor may recommend a scan to get more information about your child's birthmark.

What looks as?

Is it necessary treated?

Nevus Simplex

Port-Wine Stain

Infantile Hemangiomas

Congenital Hemangiomas

Venous Malformation

Brown and birthmarks are gray can be made from extra-melanocyte cells that produce the pigment (color) in the skin. pigmented birthmarks can look and behave differently from one another. Some are harmless, but others can come up with health problems for your baby.

congenital melanocytic nevi commonly called moles. They can be present at birth or appear during the first year of life. birthmarks are common, found in 1-3% of newborns. Congenital nevi can look very different from one another. Most chocolate, but they also may have shades of pink, red, or black. Sometimes they have a lump or hair, and they can be rough or embossed. Most congenital melanocytic nevi are harmless and usually does not require treatment or removal. Many dermatologists and pediatric dermatologist to monitor their well-child visits. They can also tell you what you should look in your child's birthmark.

A nevi usually grows larger as your child grows, but not fast. They are classified based on their size: small, medium and large / giant nevi. Large and giant nevi may have a higher risk for skin cancer ,, compared with small congenital nevi or moles that appeared later. It is important for all children, but especially those with types of birthmarks, to wear outdoors.

A child with multiple congenital melanocytic nevus always need to be evaluated by her pediatrician or dermatologist children. Having more than one congenital nevus at birth may be related to problems with the brain and spinal cord. Your doctor may recommend a scan of the areas in this regard, but this is very rare. Learn more and of the Society for Pediatric Dermatology.

Café-au-lait means "coffee with milk," which describes a light brown color is common birthmarks. As many as 20-30% of people have one. Signs are flat and usually round or oval-shaped. Most are smaller than the child's palm and has a smooth border. They are noticeable at birth or develop very early in life.

Most places café-au-lait spots are harmless. They are not likely to turn into skin cancer, but it may become darker with more exposure to the sun. A large café au lait spots with jagged borders may be associated with a rare genetic condition called McCune-Albright syndrome. Some places café-au-lait can be a sign of other conditions, including one called neurofibromatosis. If your child has a large café-au-lait spots, more than 5 spot, or spots in the armpit / groin, talk with your pediatrician about them.

This is the most common birthmarks in babies with highly pigmented skin. They were seen in 85% of Asia, 96% of blacks and 46% of Hispanic babies at birth. They are usually located in the lower back and down, but some babies may have spots on different body regions. These birthmarks can be a mixture of colors including brown, gray, blue and black. Their unique color comes from pigment in the different layers of the skin.

Most birthmarks melanocytosis skin, which used to be called Mongolian spots, gradually fading. Many lost the toddler years. Most of them are harmless and do not need treatment. In rare cases, birthmarks can be associated with a genetic condition. If your baby has other health problems and some places, please talk with your pediatrician.

Mosaicism is a word that means two sets of DNA, or genes, that are present in the same person. In mosaicism pigment, different genes may affect the color of the skin. These changes can be subtle or very large. birthmark pigment mosaicism has a unique pattern includes lines and spins. With exposure to sunlight, the area can become lighter or darker.

Although the genetic changes that are involved with mosaicism pigment is present at birth, the affected skin may not change color until later. Sometimes exposure to sunlight can cause this to happen. These changes can give the illusion that the birthmark is the "spread." In most children, mosaicism harmless pigmentation. A small number may have problems with bones, eyes or brain, especially if the birthmark they cover large areas of their body, so that your pediatrician may recommend some tests.

what it looks like?

Does it need to be treated?

Default Melanocytic nevi

Café-au-lait

Dermal Melanocytosis

pigmentation Mosaicism

Most birthmarks are harmless and are part of what makes your child unique. But some types of birthmarks can come up with potential health problems or can cause some children to feel self-conscious. That is why it is important to talk with your child's doctor about any unusual signs or changes to your child's skin. There is a safe and effective treatment options available today are very effective when started early.

Nicholas Nguyen, MD, FAAP, is a dermatologist pediatrics and director of Pediatric Dermatology Akron Children's Hospital in Akron, OH. In the American Academy of Pediatrics (AAP), it is the beginning of a career physician liaison to the Executive Committee of the Section on Dermatology and Pediatric Dermatology Case AAP also editor of the Moon.

Sheilagh M. Maguiness, MD, FAAD, FAAP, is a pediatric dermatologist and Director of Pediatric Dermatology at the University of Minnesota, Minneapolis, M N. Dr. Maguiness is VP Education and Career Development for the Society for Pediatric Dermatology. In the American Academy of Pediatrics, he is a member of the Section on the Executive Committee and Chairman of the Section on Dermatology Dermatology Education Sub-Committee.

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