Red spots on back of baby neck
Birthmarks in Infants | Johns Hopkins Medicine
A baby's skin coloring can vary greatly, depending on the baby's age, race or ethnic group, temperature, and whether or not the baby is crying. Skin color in babies often changes with both the environment and health. Some of these differences are just temporary. Others, such as certain birthmarks, may be permanent.
Birthmarks are areas of discolored and/or raised skin that are present at birth or within a few weeks of birth. Birthmarks are made up of abnormal pigment cells or blood vessels.
Although the cause of birthmarks is not known, most of them are harmless and do not require treatment. Babies with birthmarks should be examined by your child's health care provider, especially if they are:
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Located in the middle of the back, along the spine (may be related to spinal cord problems)
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Large birthmarks on the face, head or neck
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Interfering with movement of activity, for example a birthmark on the eyelid that may interfere with vision
Some common birthmarks include:
Birthmark | What it looks like |
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Stork bites, angel kisses, or salmon patches | These are small pink or red patches often found on a baby's eyelids, between the eyes, upper lip, and back of the neck. The "stork bite" name comes from the marks on the back of the neck where, as the myth goes, a stork may have picked up the baby. They are caused by a concentration of immature blood vessels and may be the most visible when the baby is crying. Most of these fade and disappear completely. |
Congenital dermal melanocytosis (also known as Mongolian spots) | Congenital dermal melanocytosis refers to areas of blue or purple-colored, typically on the baby's lower back and buttocks. These can occur in darker-skinned babies of all races. The spots are caused by a concentration of pigmented cells. They usually disappear in the first 4 years of life. |
Strawberry hemangioma | This is a bright or dark red, raised or swollen, bumpy area that looks like a strawberry. Hemangiomas are formed by a concentration of tiny, immature blood vessels. Most of these occur on the head. They may not appear at birth, but often develop in the first 2 months. Strawberry hemangiomas are more common in premature babies and in girls. These birthmarks often grow in size for several months, and then gradually begin to fade. They may bleed or get infected in rare cases. Nearly all strawberry hemangiomas completely disappear by 9 years of age. |
Port-wine stain | A port-wine stain is a flat, pink, red, or purple colored birthmark. These are caused by a concentration of dilated tiny blood vessels called capillaries. They usually occur on the head or neck. They may be small, or they may cover large areas of the body. Port-wine stains do not change color when gently pressed and do not disappear over time. They may become darker and thicker when the child is older or as an adult. Port-wine stains on the face may be associated with more serious problems. Skin-colored cosmetics may be used to cover small port-wine stains. The most effective way of treating port-wine stains is with a special type of laser. This is done when the baby is older by a plastic surgery specialist. |
Congenital moles | These common moles (less than 3 inches in diameter) occur in about 1 out of every 100 newborns. They increase in size as the child grows, but usually don't cause any problems. Your child's health care provider will watch them closely as rarely they can develop into a cancerous mole. |
Common Newborn Rashes and Birthmarks
Many newborn babies have skin conditions. Some are born with birthmarks. Some get rashes in their first few months of life. Most bumps and spots on a baby’s skin are harmless and usually clear up on their own.
It’s important to know which rashes and birthmarks are common. This will help you spot an uncommon condition that should be seen by your doctor.
Path to improved health
Many babies develop rashes soon after birth. Most of these are common and can be treated at home.
Common newborn rashes
Baby acne
- Appearance: White or red pimples on your baby’s cheeks, nose, chin, or forehead.
- Cause: Exposure to maternal hormones in the womb.
- Home care: No treatment necessary. It should clear up within a few weeks or months.
Milia
- Appearance: Tiny white bumps on the nose or face.
- Cause: Blocked oil glands.
- Home care: No treatment needed. Oil glands will open and bumps will disappear in a few days or weeks
Diaper rash
- Appearance: Red and sore skin on your baby’s bottom or genitals.
- Cause: Usually prolonged exposure to a wet or dirty diaper.
- Home care: Let your baby’s bottom dry out between diaper changes. Apply diaper rash cream or ointment at every diaper change. Change diapers frequently. Avoid using cornstarch or other powders. Babies can inhale them and hurt their lungs.
Yeast diaper rash
- Appearance: Bright red diaper rash, often with smaller red bumps or spots around the edges. Doesn’t go away with 2 to 3 days typical diaper rash home care.
- Cause: Fungal infection that grows in moist, dark areas.
- Home care: None. This needs to be seen by a doctor. It’s usually treated with medicine.
Heat rash (prickly heat)
- Appearance: Small pink or red spots on your baby’s skin. It is usually found in areas that overheat and sweat, such as neck, armpits, and diaper area.
- Cause: Overheating due to being overdressed or during hot weather.
- Home care: Move your baby to a cooler place or remove layers of clothing. You can give your baby a cool bath. Dress your baby in loose-fitting clothes.
Erythema toxicum
- Appearance: Flat, red splotches without defined borders. They may have small white or yellow dots in the center. These rarely appear after a baby is 5 days old.
- Cause: Unknown, but it appears in up to half of babies.
- Home care: No treatment needed. Splotches usually disappear in a few days or weeks.
Cradle cap
- Appearance: Thick, yellow, crusty, scaly, or greasy patches on the top of your baby’s head.
- Cause: Normal buildup of oil, scales, and dead skin cells.
- Home care: Wash your baby’s hair with mild baby shampoo. Loosen scales with a soft-bristled brush. For stubborn scales, rub mineral oil into your baby’s scalp, wait a few minutes, then brush and shampoo the hair.
Eczema
- Appearance: Red patches of dry, scaly, and itchy skin.
- Cause: Dry, sensitive skin. It’s often associated with allergies.
- Home care: Use gentle soap and skin moisturizers on your baby. Avoid fabric softeners when washing clothes. Give your baby short, warm baths only every 2 to 3 days to avoid drying out skin.
Common newborn birthmarks
Birthmarks are unusual marks on the skin. They’re common in babies. They’re usually harmless and some fade or disappear over time.
Salmon patches (also called “stork bites” or “angel kisses”)
These are mainly found on the back of the neck or between the eyebrows. They’re a collection of blood vessels. Many fade over a few months. Sometimes, especially on the back of the neck, they may never go away completely.
Mongolian spots
These smooth, flat, blue-gray marks tend to appear on the lower back or buttocks. They’re collections of pigment that didn’t make it to the top layer of the skin. They usually fade by school age, but may never disappear completely. They’re common in dark-skinned babies.
Café-au-lait spots
These flat, brown marks appear in oval shapes. They could get bigger or darker. Your baby may get more as he or she grows up.
Port-wine stains
These marks are formed by blood vessels that didn’t develop properly. They are pink or red at birth but grow into a darker red-purple color. They can be large. Lighter ones may fade. Others could grow bigger, thicker, and darker.
Hemangiomas
These raised birthmarks are formed by a clump of blood vessels. They vary in size and shape. They often appear blue, red, or purple. Most grow for about a year, then gradually shrink and fade.
What about jaundice?
Jaundice is not a rash, but it’s noticeable through the skin. Newborns with jaundice have a yellow tint to their skin and in the whites of their eyes. It usually goes away a few days after birth. It can cause health problems if it gets bad enough. If your newborn looks yellow, call your doctor right away. Treatment for jaundice involves laying the baby under a special light for a number of hours or days. Babies with severe jaundice may need to receive treatment in a hospital.
Things to consider
Most newborn rashes are harmless and go away by themselves. But sometimes a rash is a symptom of an infection. These can be dangerous to a newborn baby. Call your doctor if you notice any of the following signs or symptoms in your infant.
- Any rash along with other symptoms, such as fever, lethargy, cough, excessive fussiness, or poor feeding.
- Increased pain, swelling, or warmth in the area of the rash.
- Red streaks extending from an area of the rash.
- Swollen lymph nodes in the neck, armpit, or groin.
- Fluid-filled blisters (especially yellow, opaque fluid).
- Pinpoint red or purplish dots (called “petechiae”) all over the body that don’t lighten with pressure.
Questions to ask your doctor
- Is my baby’s rash normal?
- Is there anything I can do to treat the rash?
- How long will the rash last?
- What can I do to keep my baby from getting this rash again?
- Are there any complications from this rash that I should look out for?
- Why does my baby have a birthmark?
- If I have a birthmark, will my baby have the same kind in the same place?
Resources
National Institutes of Health, MedlinePlus: Birthmarks
National Institutes of Health, MedlinePlus: Rash – Child Under 2 Years
Copyright © American Academy of Family Physicians
This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.
Spot on the back of the head in a child
07/12/2021 Reading time: 2 min 79293
nine0002 When a child is born with a red spot on the back of the head or back of the neck, it is said to have been carelessly carried by a stork, and the spot itself is called a stork bite. It is clear that this is a joke explanation. But where, then, are the marks, if the stork has nothing to do with it? The answer must be sought not in folk legends, but in medical sources.Spot of a stork.
What is it and why is it formed?In the medical literature, the stork's spot has a completely non-fabulous scientific name: Unna's nevus or a simple nevus. It can be located not only on the back of the head or on the back of the neck, but also on the forehead, eyelids of the baby. In this case, it is called the "kiss of an angel." nine0010
There is an opinion that these spots are the result of traumatic childbirth, in which the baby's head was squeezed for a long time, but scientists refute it. They say that a simple nevus is still being laid in utero. It is formed due to a failure in the laying of blood vessels: in this area they are slightly expanded and blood flow is increased in them, so the skin here is more pink. Another version - a stork spot is formed in the place where the child's head is pressed against the mother's sacrum in the later stages. Due to pressure, the capillaries dilate and a stain results: have you ever woken up with red marks from the pillow on your face? It's about the same here. nine0010
Be that as it may, almost half of babies are born with a simple nevus on the face. You shouldn't be afraid of him. It's not a disease. There is no fault of the mother that the child is born with a mark on the back of the head, and she cannot somehow prevent her appearance.
Will the spot on the back of the head go away on its own?
A simple nevus is the most harmless deviation in the formation of skin capillaries. During the first year of a baby's life, the spot begins to lighten until it matches the color of the usual skin tone. For some time it can still manifest itself after intense screaming or strong exertion, and usually disappears by the age of two. nine0024 But if we talk specifically about the stork spot - a simple nevus located on the back of the head or the back of the neck - then it may not completely disappear, but only turn pale. Fortunately, since it is not located in the most noticeable area, the damage to the appearance is minimal.
Should I be treated?
As we remember, a simple nevus is not a disease, which means that it does not require treatment. Be patient, and the stork's spot will disappear on its own, or at least turn very pale. There are no creams, ointments or lotions that would speed up this process, so the doctor will not recommend anything to you, except for observation. And without a prescription, it is strictly forbidden to use any medicines, as well as traditional medicine recipes, when it comes to young children. nine0010
When should I see a doctor?
If the spot on the back of the child's head is a simple nevus, he will not require a visit to the doctor. Most likely, they will show it to you in the hospital and explain that there is no need to worry.
Another thing is if another pathology of vascular development was mistaken for a stork spot: a flaming nevus or hemangioma. These conditions require a different approach to monitoring and sometimes need to be treated.
If the condition of the spot worries you for some reason: for example, it does not turn pale for a long time or, on the contrary, it began to darken, increase in size, peel off, become inflamed - be sure to show the child to the doctor to clarify the diagnosis and, if necessary, prescribe treatment. nine0010
Summing up:
- Stork spot, or, scientifically, Unna's nevus (simple nevus) is a bright pink or red patch of skin on the back of the head of a newborn. The capillaries on it are expanded, and the blood flow is increased, hence the intense color. This spot is formed in utero and does not depend on the course of childbirth.
- The stork spot may disappear by the age of two, or it may turn pale and remain on the skin forever.
- It is not necessary to treat a simple nevus, observation is enough. nine0024
- You should consult a doctor if the condition of the spot worsens: it becomes brighter, larger, inflamed, peeling or rash appears. The doctor will clarify the diagnosis and prescribe treatment.
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What are the types of infantile (infantile) hemangiomas?
Erstellt am 2017/10/19, last modified: 2017/10/19 https://kinderkrebsinfo.de/doi/e195094 nine0010
Contents
- Local infantile hemangiomas
- Segmental infantile hemangiomas
- Special forms
Typically, infantile hemangiomas (that is, hemangiomas in newborns and infants, and many doctors use the term infantile hemangiomas) appear in the first days or weeks after the birth of a child. First, the first symptoms appear (specialists talk about the precursor forms of hemangiomas) - dilated subcutaneous vessels in a limited area of \u200b\u200bthe skin (telangiectasia in the language of specialists), or, for example, very pale spots, or spots of bright red or cyanotic color, or changes in the skin, similar to red birthmarks (doctors talk about vascular nevus). The classic infantile hemangioma at the birth of a child does not yet look like a tumor, it becomes one after some time. nine0024
Good to know: infantile hemangioma goes through three stages:
- Active growth phase: the first stage lasts from 6 to 9 months
- Growth stop phase: tumor size no longer changes
- Regression phase (gradual reverse development of hemangioma, that is, the tumor begins to “resolve”, the recovery process is underway): as a rule, recovery ends by the 9th year of the child's life.
Local infantile hemangiomas
90% of all infantile hemangiomas are local. This means that they have clear boundaries and grow from one central point.
Local infantile hemangiomas are divided into:
- superficial skin infantile hemangiomas. They grow on the surface of the skin (flat) or may protrude above the skin (convex, i.e. do not grow deep)
- deep subcutaneous hemangiomas. They grow deep under the skin
- combined hemangiomas. That is, a mixed type, when an infantile hemangioma simultaneously grows as a superficial skin and deep subcutaneous
Usually, at birth, an infantile hemangioma is not yet visible in a child. But then, during repeated examinations in the first weeks after birth, a small spot of red color becomes noticeable. Some infantile hemangiomas do not change for weeks or months. Others begin to grow rapidly and grow to enormous size. Most infantile hemangiomas (60%) appear in the head and neck.
Segmental infantile hemangiomas
Segmental infantile hemangiomas (that is, a large hemangioma will grow in a certain area of the body) are less common than local ones. They can appear both in the head and neck, and in the region of the lumbar spine and in the coccyx. Usually the size of segmental infantile hemangiomas is larger than that of local forms. In addition, they often appear when abnormal development of blood vessels or internal organs begins in the body (in this case, doctors talk about malformations or developmental anomalies). Characteristic of segmental hemangiomas is that they are very large and cover a certain department (segment) of the body. They are almost invisible at birth. But they can grow very quickly and then the baby often has various health problems. nine0024
For example, segmental infantile hemangiomas in the face or shoulder region are associated with the so-called PHACES syndrome (P.H.A.C.E.S. syndrome is a set of several congenital malformations, each letter of the abbreviation denotes a specific malformation). First, anomalies in the development of the chest, aorta, as well as heart defects and cysts in the brain (in the language of specialists, the so-called Dandy-Walker variant) are found in the baby, and then a segmental hemangioma appears. Another complication is a tendency to form ulcers and a tendency to frequent infections. nine0024
Hemangiomas that grow in the perineum are part of the PELVIS (in the pelvis) and SAKRAL (in the sacrum) syndromes. They are accompanied by skin growths, as well as anomalies in the development of the bladder, spinal cord and spinal cord membranes, and abnormal development of the anus.
In rare cases, infantile hemangiomas can also grow in the area of internal organs, such as the liver or kidneys.
Special shapes
"Rapid Involuting Congenital Hemangioma / abbreviated as RICH":
These forms may also be referred to as congenital rapidly regressing hemangiomas. Already at the birth of a child, they are fully developed (doctors say “fully formed”) and quickly (in English " rapid " ) completely disappear, usually by the third year of a baby's life (doctors often use the term "involution “ , from the English term "involuting" , which means reverse development of ).
"Congenital non-involuting hemangioma (Non involuting congenital hemangioma / abbreviated NICH)"
These infantile hemangiomas may also be referred to as congenital nonregressive hemangiomas. They don't disappear on their own, but they don't grow either.
Benign neonatal hemangiomatosis
A child has many small hemangiomas on the skin that look like small millet.