How can you tell the difference between a port wine stain and a salmon patch?

Like port-wine stains, salmon patches start as flat, pink or red patches; the difference between these birthmarks is that salmon patches tend to fade in the first year of life while port-wine stains become darker and grow along with the baby.
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Is a port-wine stain a patch?

A port-wine stain is a patch of skin that a baby is born with, usually over their face, neck or scalp, which looks pink or pale purple.
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What do salmon patches look like?

Salmon patches are diagnosed by their appearance. They are pink or red, flat, irregularly shaped patches that appear on the baby's face or the back of the neck. On the face, they are commonly found between the eyebrows or on one of the eyelids. Salmon patches are never painful or itchy.
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What do port-wine stains look like?

A port-wine stain is a permanent birthmark present from birth. It starts out pinkish or reddish and turns darker as the child grows. Most often, a port-wine stain appears on the face, but it can affect other areas of the body.
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What is the difference between a port-wine stain and a stork bite?

Port-wine stains often are permanent (unless treated). Salmon patches (also called stork bites) are very common birthmarks and appear on newborn babies. These marks are small blood vessels (capillaries) that are visible through the skin.
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Vascular ectasias - Nevus flammeus (port-wine stain) , Salmon Patch , Telangiectasias



How do you identify port-wine?

A port-wine stain is a type of birthmark. It got its name because it looks like maroon wine was spilled or splashed on the skin. Though they often start out looking pink at birth, port-wine stains tend to become darker (usually reddish-purple or dark red) as kids grow.
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Do port-wine stains blanch when pressed?

Blanching on pressure is variable. They are usually unilateral with a clear demarcation at the midline. The lesions may change from pink in infancy to red in early adulthood to deep purple during middle age. Nodular vascular lesions may develop, usually in adulthood.
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Do salmon patches get darker?

Salmon patches are flat and pink patches usually seen on the forehead, eyelids, nose, upper lip, or back of the neck. Since they are a collection of blood vessels, salmon patches may become darker when the child cries or when room temperature changes dramatically.
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Do salmon marks go away?

You might hear of a salmon patch (nevus simplex) birthmark called an “angel kiss” if the patch is on the face, eyelids or forehead. This type of birthmark generally fades away completely after 1 to 2 years of age.
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Do salmon patches blanch?

Salmon patches are scarlet to pink and flat, can be totally blanched, and usually deepen in color with vigorous activity (crying, straining with defecation, breathholding) or with changes in ambient temperature. The lesions are most commonly found on the nape, followed by the glabella and eyelids (Figure 2).
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Do salmon patches fade when pressed?

What do they look like? They are pinkish birthmarks that appear on your child's forehead, eyelids or nape of neck. They become more obvious when the child is crying or warm. It may fade when you apply a small amount of pressure.
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Does angel kiss birthmark go away?

Angel's kisses. Marks located on the forehead, nose, upper lip, and eyelids that usually disappear with age.
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Why do some babies have stork bites?

The "stork bite" name comes from the marks on the back of the neck where, as the myth goes, a stork may have picked up the baby. They are caused by a concentration of immature blood vessels and may be the most visible when the baby is crying. Most of these fade and disappear completely.
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What is a salmon patch?

Sometimes called stork bites or angel kisses, salmon patches are reddish or pink patches. They are often found above the hairline at the back of the neck, on the eyelids or between the eyes. These marks are caused by collections of capillary blood vessels close to the skin.
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Can port-wine stains be small?

Port wine stains (also known as capillary malformations) are permanent red or blue-coloured birthmarks that are present from birth. They are quite common and happen in an estimated three out of 1000 babies. Some port wine stains are small, others can be quite large.
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When should I worry about port-wine stain?

The skin of a port-wine stain often gets thicker, and it may go from feeling smooth to pebbly. The birthmark shouldn't itch or hurt, and it shouldn't bleed. If it does, you should have it checked by a doctor. Sometimes, a port-wine stain gets drier than the skin around it, and using moisturizer will help.
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What are port wine birthmarks?

A port-wine stain is a birthmark in which swollen blood vessels create a reddish-purplish discoloration of the skin. Port wine stains are always present at birth. In an infant, they are flat, pink, vascular lesions. Common locations include the face and neck, but they may be present anywhere on the body.
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What is an angel kiss on a baby?

You might notice reddish or pink patches at the back of your newborn's neck, on the eyelids, forehead or between your newborn's eyes. These marks — sometimes nicknamed stork bites or angel kisses — tend to get brighter during crying. Some marks disappear in a few months, while others fade over a few years or persist.
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Why do neurologists ask about birthmarks?

One of the main things that we need to screen for with birthmarks is something called neurocutaneous disorders: “Neuro” for brain and “cutaneous” for skin, meaning that sometimes when birthmarks are present, they may indicate a greater syndrome that could involve the brain.
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What causes port wine stain?

Port-wine stains are caused by an abnormal formation of tiny blood vessels in the skin. In rare cases, port-wine stains are a sign of Sturge-Weber syndrome or Klippel-Trenaunay-Weber syndrome.
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What is Mongolian spot?

Mongolian spots; Congenital dermal melanocytosis. Dermal melanocytosis is the name of a kind of birthmark that is flat, blue, or blue-gray. They appear at birth or in the first few weeks of life. Dermal melanocytosis was formerly called Mongolian blue spots.
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What are the different types of birthmarks?

There are two main types of birthmarks, which have different causes:
  • Vascular birthmarks happen when blood vessels don't form correctly. Either there are too many of them or they're wider than usual.
  • Pigmented birthmarks are caused by an overgrowth of the cells that create pigment (color) in skin.
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Do port-wine stains change color with temperature?

Port-wine stains don't change color when gently pressed. They don't go away over time and may become darker and thicker as a child gets older. Port-wine stains on the face may be linked to more serious problems. Skin-colored cosmetics may be used to cover small port-wine stains.
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Can port-wine stains become cancerous?

Nonmelanoma skin cancer is known to develop in port-wine stains, most commonly basal cell carcinoma. The range of skin cancer types known to arise in these malformations can be expanded to include melanoma in situ.
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Does insurance cover port-wine stain removal?

Conclusion: Based on current health care policy guidelines, laser treatment of port-wine stains should be regarded, and covered, as a medical necessity by all insurance providers.
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