Mongolian face disease

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Are You Confident of the Diagnosis? Characteristic findings on physical examination These lesions are usually present at birth as blue-black macular lesions found overlying the lumbosacral area (Figure 1). The lesions can range in size from 5mm to 10cm or more. The pigment will not accentuate when observed with a Wood’s lamp. The lesions can also be noted within the first few weeks of life. Dermal melanocytosis can also be seen higher up on the back, or the lesions can extend onto the buttocks and even onto the upper posterior thighs. Lesions are darkest at 1 year of age and often are noted to be fading by 3 years of age. Figure 1. Classic example of dermal melanocytosis (Mongolian spot). Courtesy of Rhonda Schnur, MD Expected results of diagnostic studies Histology of a biopsy specimen will show hyperpigmented spindle shaped melanocytes distributed in a parallel fashion between collagen fibers in the deep dermis. Some of the lesions that persist into adulthood may show histology similar to that of a blue nevus, with some melanocytes extending into the subcutaneous fat and even into muscle. Diagnosis confirmation The differential diagnosis includes a large cafe-au-lait macule or blue nevus. In an older child, both post-inflammatory hyperpigmentation as well as a fixed drug eruption would be in the differential, but neither of these would be present at birth. Non-pigmented lesions, such as vascular malformations and deep cavernous hemangiomas, would also be in the different...

Mongolian blue spots are flat bluish- to bluish-gray skin markings commonly appearing at birth or shortly thereafter. They appear commonly at the base of the spine, on the buttocks and back and also can appear on the shoulders. Mongolian spots are benign and are not associated with any conditions or illnesses. Dermal melanocytosis is not cancerous and are not associated with disease. The markings may cover a large area of the back. The markings are usually: • Blue or blue-gray spots on the back, buttocks, base of spine, shoulders, or other body areas • Flat with irregular shape and unclear edges • Normal in skin texture • 2 to 8 centimeters wide or larger Dermal melanocytosis is sometimes mistaken for bruises. This can raise a question about possible child abuse. It is important to recognize that dermal melanocytosis is a birthmark, not bruises. DiBiagio JR Lloyd MC, Dermatology. In: Kleinman K, Mcdaniel L, Molloy M, eds. Harriet Lane Handbook. 22nd ed. Philadelphia, PA: Elsevier; 2021:chap 8. James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM. Melanocytic nevi and neoplasms. In: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Andrews' Diseases of the Skin: Clinical Dermatology. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 30. McClean ME, Martin KL. Cutaneous nevi. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 670. Version Info

What Is Morgellons Disease? Some medical experts say Morgellons is a physical illness. Others suggest it is a type of Your doctor may call it an "unexplained dermopathy," which means a skin condition that occurs without a known reason. Other medical professionals have dubbed the condition "fiber disease." Morgellons Disease Symptoms Unpleasant skin sensations are the main complaint. People with Morgellons may also complain of: • Feeling like bugs are crawling all over the skin • Burning or stinging sensations under the skin • Intense • Skin sores that appear suddenly and heal slowly • Sores that leave very red (hyperpigmented) scars Some patients report thread-like fibers stuck in the skin. People with Morgellons sometimes complain of other symptoms, which may include: • Hard time paying attention and concentrating • Extreme • • Joint and • • • • Short-term Morgellons Disease Risk Factors In the past, few doctors had heard of Morgellons. But in response to scattered reports, the CDC worked together with several other The CDC study found that Morgellons is most likely to affect middle-aged white women. Many of the patients in the CDC study showed signs of being obsessively concerned about health problems in general. This is called somatic concerns. About half of the people in the study had other health problems, including Controversial Diagnosis The question of whether Morgellons is a disease or a delusion has prompted debate and new research in recent years. The CDC states...

Overview What are birthmarks? There are two main categories of birthmarks — red birthmarks and pigmented birthmarks. Red birthmarks are a vascular (blood vessel) type of birthmark. Pigmented birthmarks are areas in which the color of the birthmark is different from the color of the rest of the What are red birthmarks? Red birthmarks are colored, vascular (blood vessel) skin markings that develop before or shortly after birth. Red birthmarks are caused by an overgrowth of blood vessels. What are the types of red birthmarks? One common kind of vascular birthmark is the hemangioma. It usually is painless and harmless and its cause is unknown. Color from the birthmark comes from the extensive development of blood vessels at the site. Strawberry hemangiomas (strawberry mark, nevus vascularis, capillary hemangioma, hemangioma simplex) might appear anywhere on the body, but are most common on the face, scalp, back, or chest. They consist of small, closely packed blood vessels. They might be absent at birth, and develop after several weeks. They usually grow rapidly, remain a fixed size, and then subside. In most cases, strawberry hemangiomas disappear by the time a child is 9 years old. Some slight discoloration or puckering of the skin might remain at the site of the hemangioma. Cavernous hemangiomas (angioma cavernosum, cavernoma) are similar to strawberry hemangiomas but are more deeply situated. They might appear as a red-blue spongy mass of tissue filled with blood. Some of ...

According to the World Health Organization (WHO), in 2002, chronic diseases caused 13,000 out of 19,000 In 2015, 75 percent of men and 79 percent of women were overweight. Based on data presented by the WHO, focusing on implementing healthier diets and increasing physical activity could prevent 40 percent of occurrences of cancer and at least 80 percent of premature heart disease, stroke and type 2 diabetes. The Millennium Challenge Corporation spent five years encouraging healthier lifestyles in The Regional Office for the Western Pacific portion of the WHO looked at life expectancy rates in Mongolia and found that between 2010 and 2030 both women and men can expect a significant increase in life expectancy. Men are estimated to live 16.2 years longer and women 19.6 years. It is also estimated that the population of individuals over the Furthering research and instituting prevention and interventions will be able to prevent this major increase in cardiovascular and other diseases of this nature. Similarly, the – Helen Barker Photo: Flickr May 18, 2017