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Salmon patch in Infant/Neonate
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Salmon patch in Infant/Neonate

Other Resources UpToDate PubMed

Synopsis

The salmon patch, also known as stork bite, angel's kiss, nevus simplex, and erythema nuchae, is the most common vascular lesion seen in infants of all races and ethnicities (20%-60%), usually at birth. The nape of the neck and occiput are the most common sites, but facial, scalp, and sacral lesions are frequent. The trunk and limbs are less often affected. There may be multiple lesions. Lesions enlarge in proportion to the child's growth. Facial lesions generally fade within 1-2 years, whereas those at other sites, especially nuchal, persist into adulthood.

A variant of the salmon patch known as the butterfly-shaped mark can occur in the sacral region. Sacral lesions may be associated with spinal dysraphism, tethered cord, lipomeningocele, or diastematomyelia, usually when another skin defect occurs (a dimple, sinus, swelling, excess hair, nevus, or skin aplasia).

Codes

ICD10CM:
Q82.5 – Congenital non-neoplastic nevus

SNOMEDCT:
254211001 – Salmon patch nevus

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

  • Port wine stain – Tend to be unilateral and do not involute past toddler age.
  • Beckwith-Wiedemann syndrome – An overgrowth syndrome associated with macrosomia, macroglossia, abdominal wall defects, and hypoglycemia in the neonatal period.
  • Nova syndrome – Salmon patches are seen on the glabellar area in conjunction with posterior fossa brain malformations.

Best Tests

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Management Pearls

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Therapy

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References

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Last Updated:03/08/2021
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Salmon patch in Infant/Neonate
Salmon patch : Confluent configuration, Erythema, Face, Irregular configuration, Neck, Sacral region of back, Scalp, Blanching patch
Clinical image of Salmon patch
Reddish macules and patches on the central forehead and upper eyelids.
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