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Salmon patch - Skin
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Salmon patch - Skin

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Contributors: Craig N. Burkhart MD, Dean Morrell MD, Lowell A. Goldsmith MD, MPH, Nancy Esterly MD
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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 of infants of all races (20-60%). 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 to 2 years, whereas those at other sites, especially nuchal, persist into adulthood.

A variant of the salmon patch known as the butterfly-shaped marked 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: 04/12/2017
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Salmon patch - Skin
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Salmon patch : Confluent configuration, Erythema, Face, Irregular configuration, Neck, Sacral region of back, Scalp, Blanching patch
Clinical image of Salmon patch
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