Seeing blue or blue-gray spots on your baby’s skin can be concerning, especially if they don’t seem to fade. However, these spots, known as congenital dermal melanocytosis (previously referred to as Mongolian spots), are typically harmless. They often appear on a baby’s lower back, buttocks, or shoulders and can resemble bruises due to their color and irregular shape. Unlike bruises, they are not painful and do not change color or shape rapidly.
Congenital dermal melanocytosis is more common among infants of African, Asian, Indian, and Mediterranean descent. These birthmarks can vary in size, with some being quite small while others can expand to 3 inches or more in diameter.
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In summary, while congenital dermal melanocytosis may raise concerns, these blue birthmarks are generally harmless and common among certain ethnic groups. If you have questions, don’t hesitate to discuss them with your baby’s pediatrician.