A newborn had bluish swelling over upper eyelid. There was no lid edema or eye involvement and the swelling regressed spontaneously at about one year of age. What is the diagnosis:
High-Yield Explanation
Ans. C. Salmon patchSalmon patch (Nevus Simplex)* Salmon patches are small, pale pink, ill- defined, vascular macules that occur most commonly on the glabella, eyelids, upper lip, and nuchal area of 30-40% of normal newborn infants.* These lesions, which represent localized vascular ectasia, persist for several months and may become more visible during crying or changes in environmental temperature.* Most lesions on the face eventually fade and disappear completely, but those on the posterior neck and occipital areas often persist.* The facial lesions should not be confused with a port-wine stain, which is a permanent lesion.* The salmon patch is usually symmetric, with lesions on both eyelids and both sides of midline.* Port-wine stains are often larger and unilateral, and they usually end along the midline