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Salmon patch in Child
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Salmon patch in Child

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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).


Q82.5 – Congenital non-neoplastic nevus

254211001 – Salmon patch nevus

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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.

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Last Updated:03/07/2021
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Patient Information for Salmon patch in Child
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Salmon patch in Child
A medical illustration showing key findings of Salmon patch : Confluent configuration, Erythema, Face, Irregular configuration, Neck, Sacral region of back, Scalp, Blanching patch
Clinical image of Salmon patch - imageId=1705028. Click to open in gallery.  caption: 'Reddish macules and patches on the central forehead and upper eyelids.'
Reddish macules and patches on the central forehead and upper eyelids.
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