A birthmark is a skin marking that is present at birth. Birthmarks include cafe-au-lait spots, moles, and mongolian spots. Birthmarks can also be red.
Cafe-au-lait spots may occur in people with the genetic disorder, neurofibromatosis.
Nearly everyone has moles, which usually appear after birth.
Mongolian spots are more common in people with darker skin.
Each type of birthmark has its own appearance:
Other symptoms of birthmarks:
The doctor will examine your skin to make the diagnosis. You may have a biopsy to look for skin changes that are signs of cancer. The doctor may take pictures of the birthmark to compare changes over time.
The type of treatment you have depends on the type of birthmark and related conditions. Usually no treatment is needed for the birthmark itself.
Large birthmarks that affect your appearance and self-esteem may be covered with special cosmetics.
You may have surgery to remove moles if they they affect your appearance or have an increased cancer risk. Talk to your doctor how and when to remove any moles.
Nevus Outreach is a support group for people with large birthmarks called nevi.
Large moles that are present at birth (congenital nevi) are more likely to become skin cancer (malignant melanoma). This is especially true if the mole covers an area larger than the size of a fist. The cancer risk is related to the size, location, shape, and color of the mole.
Mongolian spots may persist for months or years. They do NOT become cancer or develop other symptoms.
Have a health care provider examine any birthmark. Report changes in the birthmark to your health care provider, including:
There is no known way to prevent birthmarks. A person with birthmarks should use a strong sunscreen when outdoors (to prevent complications).
Nevus sebaceous; Hairy nevus; Nevi; Mole; Cafe-au-lait spots; Congenital nevus
Habif TP. Premalignant and malignant nonmelanoma skin tumors. In: Habif TP, ed. Clinical Dermatology. 5th ed. St. Louis, Mo: Mosby Elsevier; 2009:chap 21.
Morelli JG. Diseases of the neonate. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds.Nelson Textbook
of Pediatrics.19th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 639.
Updated by: Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.
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