Congenital Dermal Melanocytosis (Mongolian Spot) Follow-up

  • Author: Abdul-Ghani Kibbi, MD; Chief Editor: Dirk M Elston, MD   more...
 
Updated: Jul 22, 2011
 

Prognosis

Mongolian spots usually fade in the first year of life, but, at times, they may persist indefinitely. Aberrant mongolian spots located in areas distal from the lumbosacral region may persist, unlike the typically located ones, which have a tendency to resolve.[23]

 
Contributor Information and Disclosures
Author

Abdul-Ghani Kibbi, MD  Professor and Chair, Department of Dermatology, American University of Beirut Medical Center, Lebanon

Disclosure: Nothing to disclose.

Coauthor(s)

Ruba Faik Bahhady, MD  Senior Specialist, Department of Dermatology, American University of Beirut Medical Center

Disclosure: Nothing to disclose.

Zeina Tannous, MD  Consulting Staff, Department of Dermatology, Massachusetts General Hospital, Harvard Medical School

Zeina Tannous, MD is a member of the following medical societies: Alpha Omega Alpha

Disclosure: Nothing to disclose.

Mazen Kurban, MD  Staff Physician, Department of Dermatology, American University of Beirut Medical Center

Mazen Kurban, MD is a member of the following medical societies: Alpha Omega Alpha

Disclosure: Nothing to disclose.

Specialty Editor Board

Ponciano D Cruz Jr, MD  Vice-Chair, JB Shelmire Professor, Department of Dermatology, University of Texas Southwestern Medical Center

Ponciano D Cruz Jr, MD is a member of the following medical societies: Texas Medical Association

Disclosure: RCTS Consulting fee Independent contractor; Mary Kay Cosmetics Honoraria Consulting; Galderma Grant/research funds Principal Investigator

David F Butler, MD  Professor of Dermatology, Texas A&M University College of Medicine; Chair, Department of Dermatology, Director, Dermatology Residency Training Program, Scott and White Clinic, Northside Clinic

David F Butler, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, American Society for Dermatologic Surgery, American Society for MOHS Surgery, Association of Military Dermatologists, and Phi Beta Kappa

Disclosure: Nothing to disclose.

Edward F Chan, MD  Clinical Assistant Professor, Department of Dermatology, University of Pennsylvania School of Medicine

Edward F Chan, MD is a member of the following medical societies: American Academy of Dermatology, American Society of Dermatopathology, and Society for Investigative Dermatology

Disclosure: Nothing to disclose.

Catherine M Quirk, MD  Clinical Assistant Professor, Department of Dermatology, University of Pennsylvania

Catherine M Quirk, MD is a member of the following medical societies: Alpha Omega Alpha and American Academy of Dermatology

Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD  Director, Ackerman Academy of Dermatopathology, New York

Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

References

  1. Cordova A. The Mongolian spot: a study of ethnic differences and a literature review. Clin Pediatr (Phila). Nov 1981;20(11):714-9. [Medline].

  2. Reza AM, Farahnaz GZ, Hamideh S, Alinaghi SA, Saeed Z, Mostafa H. Incidence of Mongolian spots and its common sites at two university hospitals in Tehran, Iran. Pediatr Dermatol. Jul-Aug 2010;27(4):397-8. [Medline].

  3. Zagne V, Fernandes NC. Dermatoses in the first 72 h of life: A clinical and statistical survey. Indian J Dermatol Venereol Leprol. Jul-Aug 2011;77(4):470-6. [Medline].

  4. Leung AK, Kao CP, Leung AA. Persistent Mongolian spots in Chinese adults. Int J Dermatol. Jan 2005;44(1):43-5. [Medline].

  5. Leung AK, Kao CP. Extensive mongolian spots with involvement of the scalp. Pediatr Dermatol. Sep-Oct 1999;16(5):371-2. [Medline].

  6. Leung AK, Kao CP, Lee TK. Mongolian spots with involvement of the temporal area. Int J Dermatol. Apr 2001;40(4):288-9. [Medline].

  7. Leung AK, Robson WL. Superimposed Mongolian spots. Pediatr Dermatol. Mar-Apr 2008;25(2):233-5. [Medline].

  8. Igawa HH, Ohura T, Sugihara T, Ishikawa T, Kumakiri M. Cleft lip mongolian spot: mongolian spot associated with cleft lip. J Am Acad Dermatol. Apr 1994;30(4):566-9. [Medline].

  9. Mosher DB, Fitzpatrick TB, Yoshiaki H, et al. Disorders of pigmentation. In: Fitzpatrick TB, ed. Dermatology in General Medicine. Vol 1. New York, NY: McGraw-Hill; 1993:903-95.

  10. Achtelik W, Tronnier M, Wolff HH. [Combined naevus flammeus and naevus fuscocoeruleus: phacomatosis pigmentovascularis type IIa]. Hautarzt. Sep 1997;48(9):653-6. [Medline].

  11. Huang C, Lee P. Phakomatosis pigmentovascularis IIb with renal anomaly. Clin Exp Dermatol. Jan 2000;25(1):51-4. [Medline].

  12. Kawara S, Takata M, Hirone T, Tomita K, Hamaoka H. [A new variety of neurocutaneous melanosis: benign leptomeningeal melanocytoma associated with extensive Mongolian spot on the back]. Nippon Hifuka Gakkai Zasshi. Apr 1989;99(5):561-6. [Medline].

  13. Torrelo A, Zambrano A, Happle R. Large aberrant Mongolian spots coexisting with cutis marmorata telangiectatica congenita (phacomatosis pigmentovascularis type V or phacomatosis cesiomarmorata). J Eur Acad Dermatol Venereol. Mar 2006;20(3):308-10. [Medline].

  14. Uysal G, Guven A, Ozhan B, Ozturk MH, Mutluay AH, Tulunay O. Phakomatosis pigmentovascularis with Sturge-Weber syndrome: a case report. J Dermatol. Jul 2000;27(7):467-70. [Medline].

  15. Van Gysel D, Oranje AP, Stroink H, Simonsz HJ. Phakomatosis pigmentovascularis. Pediatr Dermatol. Jan-Feb 1996;13(1):33-5. [Medline].

  16. Inamadar AC, Palit A. Persistent, aberrant Mongolian spots in Sjogren-Larsson syndrome. Pediatr Dermatol. Jan-Feb 2007;24(1):98-9. [Medline].

  17. Rybojad M, Moraillon I, Ogier de Baulny H, Prigent F, Morel P. [Extensive Mongolian spot related to Hurler disease]. Ann Dermatol Venereol. Jan 1999;126(1):35-7. [Medline].

  18. Ochiai T, Ito K, Okada T, Chin M, Shichino H, Mugishima H. Significance of extensive Mongolian spots in Hunter's syndrome. Br J Dermatol. Jun 2003;148(6):1173-8. [Medline].

  19. Snow TM. Mongolian spots in the newborn: do they mean anything?. Neonatal Netw. Jan-Feb 2005;24(1):31-3. [Medline].

  20. AlJasser M, Al-Khenaizan S. Cutaneous mimickers of child abuse: a primer for pediatricians. Eur J Pediatr. Nov 2008;167(11):1221-30. [Medline].

  21. Ashrafi MR, Shabanian R, Mohammadi M, Kavusi S. Extensive Mongolian spots: a clinical sign merits special attention. Pediatr Neurol. Feb 2006;34(2):143-5. [Medline].

  22. Kagami S, Asahina A, Watanabe R, et al. Laser treatment of 26 Japanese patients with Mongolian spots. Dermatol Surg. Dec 2008;34(12):1689-94. [Medline].

  23. Shirakawa M, Ozawa T, Ohasi N, Ishii M, Harada T. Comparison of regional efficacy and complications in the treatment of aberrant Mongolian spots with the Q-switched ruby laser. J Cosmet Laser Ther. Jun 2010;12(3):138-42. [Medline].

  24. Ahn JS, Kim SD, Hwang JH, Youn SW, Kim KH, Park KC. Halo-like disappearance of mongolian spot combined with café au lait spot. Pediatr Dermatol. Jan-Feb 1998;15(1):70-1. [Medline].

  25. Levene A. Disseminated dermal melanocytosis terminating in melanoma. A human condition resembling equine melanotic disease. Br J Dermatol. Aug 1979;101(2):197-205. [Medline].

  26. Rivers JK, Frederiksen PC, Dibdin C. A prevalence survey of dermatoses in the Australian neonate. J Am Acad Dermatol. Jul 1990;23(1):77-81. [Medline].

 
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