Nevus simplex
- Nevus simplex (salmon patch) is a type of faint, transient capillary malformation
- Present in 30-40% of newborns, it is the most common pediatric vascular lesion
- Flat, pink to bright red patches typically on the midline forehead, scalp, upper eyelids, posterior neck and back.
- Children often have multiple
- The redness will become accentuated during episodes of increased internal pressure (crying, straining with defecation or physical exertion)
Management
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In general, there are no findings associated with nevus simplex that require workup or evaluation
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95% of facial lesions fade within 1-2 years making treatment unnecessary
Clinical Case
HPI: This is a 6 month old baby who presents with a lesion on her face that has been present since birth and has been growing in size.
The lesion is not itchy or painful.
PMH: Born at 38 weeks to healthy mother via C-section, no pregnancy or labor complications. No medical conditions.
Dull red patch on the face involving the upper eyelid, forehead, temple and scalp
Erythematous patch midline cutoff lateral like herpes zoter