NEVUS SIMPLEX

By Gary M. White, MD

Nevus simplex


The nevus simplex (NS) is a pink to red stain most common on the face (angel kiss) or nape (stork bite). Another term is the salmon patch.

Clinical

A pink to red vascular stain most common on the face (e.g. forehead, eyelids, nose, upper lip), scalp, and/or nape is characteristic. They are benign lesions of no clinical significance. Occasionally, patients in addition to typical lesions on the face and/or nape will have extensive lesions elsewhere. This has been termed "nevus simplex complex" [J Am Acad Dermatol. 2010 Nov;63(5):805-14].

Facial Vascular Birthmarks

Disease Characteristics
Nevus simplex Bilateral and symmetric. No associations.
Port Wine Stain Often unilateral. Persistent. If on the forehead, may be associated with Sturge Weber Syndrome

Treatment

Treatment is not necessary. Lesions on the face resolve spontaneously--40 percent in the neonatal period, and most by 18 months of age. Lesions on the nape may persist throughout life. When extensive, it is reasonable to evaluate the child for any associations (e.g. measure head circumference, check with pediatrician about any other health issues), although these are expected to be normal/negative.

Additional Pictures

Erythema nuchae This lesion often persists throughout life.
Erythema Nuchae

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