Mongolian spots, also known as congenital dermal melanocytosis, are a common type of birthmark found in newborns. These benign skin lesions are characterized by their blue or blue-grey coloration, typically appearing on the lower back and buttocks, although they can occur on other parts of the body. The aetiology of Mongolian spots is linked to the aberrant migration and accumulation of melanocytes in the deeper layers of the skin during embryonic development. While prevalent in East Asian, Native American, Hispanic, and African populations, these spots can appear in infants of all ethnicities, including white individuals. The differential diagnosis includes conditions like bruising, blue nevi, café-au-lait spots, and others, making proper identification important to avoid misinterpretations, especially in the context of child welfare. Mongolian spots generally fade and disappear during early childhood, and they carry no risk of malignancy or association with systemic diseases. The natural course of these birthmarks does not necessitate medical treatment, and their prognosis is excellent, with spontaneous resolution being the norm.
Published Date: 2023-12-26; Received Date: 2023-11-23