Mongolian stain is a harmless flat blue color on the body of a newborn. It is nothing more than the concentration of pigment-producing cells (melanocytes) located in the deeper layers of the skin. Hue spots range from dark brown to gray or blue-black. What should be done if a child has a dermal melanocytosis, or Mongolian spots, on the priest? Should it be removed, and does it pose a potential threat to children’s health? Let’s listen to the opinion of experts, to what they say about this.
Causes of congenital nevus
The German physician and anthropologist Erwin Balz, being in Japan in 1883, drew attention to the blue spots that stood out on the skin surface of newborn babies. They looked like bruises on a priest in children, but they were not painful or somehow sensitive when touched. Erwin called them “Mongolian blue spots”, considering them to be characteristic of the Mongoloid race. The reason for their formation is proliferation (increase in the number of cells, growth) of melanin in a specific region of the dermis.
Dark skinned patients, including people of African, East Indian, Asian origin, are generally more susceptible to this pigmentation. For example, in Asians, they are found as often as freckles. About 10% of white children are diagnosed with dermal melanocytosis.
What Mongolian spots look like?
It is important to differentiate these spots from bruises and bruises, other skin lesions, which can be swollen and hyperemic.
To summarize, the Mongolian spots:
- smooth, with normal skin texture;
- blue or blue-gray;
- usually 2 to 8 centimeters wide;
- irregular shape, with poorly defined edges;
- present at birth or soon after;
- located on the priest, sacrum, rarely on the hands or torso.
Is it a Mongolian spot for children?
Spots form in the fetus and can be detected immediately at birth or a few weeks after. In the course of the research, it turned out that these are not vascular lesions of the skin. They are benign and non-hazardous. Produced by the same body cells that are responsible for eye color. The closer the cells are to the surface of the skin, the more pronounced the Mongolian stains. No special tests are required for the diagnosis of skin pathology: a qualified doctor can identify it simply by examining the stigma.
Blue-gray Mongolian spots can be single or multiple, ranging in size from a few millimeters to 10 centimeters or more in diameter. Just look at the photo.
As a rule, they appear on the back, shoulders, buttocks, legs, arms, face of a child and can be both very tiny and large formations of irregular shape, without a specific texture. Both girls and boys suffer from them equally, although there is an assumption that boys have dermal melanocytosis more often.
No treatment is required. Mongolian spots do not have a tendency to malignant degeneration, gradually disappear, so many doctors do not even classify them as birthmarks. In babies, they pass at the age of 3-5 years. In very rare cases, they persist in school years and in adulthood. Some people use a cream to even out skin tone to hide a pigmented nevus, others turn to aesthetic medicine, insisting on removing the spot with a laser that inhibits melanin formation. In any case, without consulting a dermatologist in this matter is necessary.
When may need medical attention
As soon as the diagnosis “Mongolian spot” has been made to your child, essentially, nothing further needs to be done except to watch him and wait for it to disappear over time. If this does not happen in the first years of the baby’s life, contact your pediatrician. As mentioned above, there is no specific therapy for treating this diagnosis in infants. However, large and numerous spots on the pope and other parts of the body that persist after one year of life may be associated with very rare genetic disorders. And if along with this hyperpigmentation, there is some family history of genetic disorders, the pediatrician may decide to send the child’s blood to a laboratory for testing to see if he has a specific genetic disease, each of which has its own methods of treatment.
It is worth saying that Mongolian spots are sometimes mistaken for a congenital defect in the development of the spinal cord and spinal column, called the back Bifida. But do not take into account that the spots associated with this syndrome are red, and not characteristic of cutaneous melanocytosis, blue-gray.
We hope that our article has helped you to know better about the problem that is actually solved.