Dr. Aditi Dhanta
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
We have a 9-month-old baby girl. She has five brown marks, two of them are 2 cm size and the other three of 0.5 cm. They are irregular in shape. Initial two marks appeared when she was 3 months old and now when she is 9 months three more for added that are comparatively light and 0.5 cm of size. Are these birthmarks? Will they fade with the time? Do we need to take any precautions so that they do not increase or get added further? Can we also provide any medication to cure them?
Hi,
Welcome to icliniq.com.
Please send me a photograph of the lesion. On the basis of history, it seems to be cafe lait macules, but to be sure I need photographs of the lesion. Presently, I will not suggest any medications as baby is small and I need to be sure. Kindly review with photographs.
Patient's Query
Thank you doctor,
I am attaching the pictures. I would also like to know, are these birth marks? Will they fade with time? Do we need to take any precautions so that they do not increase or get added further? Can you provide any medication to cure them and at what age we can start the medication?
Hi,
Welcome back to icliniq.com.
I saw the attached photographs. (attachment removed to protect patient identity). The brown color hyperpigmentation are the birthmarks only. Nothing to worry about it. They will not progress in size and will increase in proportion to height. They will not darken with time. Or they will remain in the same color or slightly fade with time. Nothing active to be done for these lesions and no tube or medicine will be beneficial. In the future, if the child finds it as cosmetic problem then they can be treated with laser after the child acquires puberty and there is no more growth.
Patient's Query
Thank you doctor,
Is it the same as what you mentioned earlier, Cafe-au- lait macules? As mentioned earlier, the initial 3 months it was two in count and now we observed three more of them as you can see in the picture. The new marks are still very small and light but we are worried if the count can increase further. Also, are these new marks the same as the first two marks? Is there an alarm situation if the count increases further or they go darker?
Hi,
Welcome back to icliniq.com.
Yes, it is the same Cafe-au-lait macule. They may appear later in life and of light shade and can increase in number until 1 year. Nothing to worry, it is not alarming or dangerous for the child.
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Dermatology
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