Congenital Dermal Melanocytosis (Mongolian Spot) Treatment & Management

Updated: Mar 22, 2019
  • Author: Abdul-Ghani Kibbi, MD, FACP; Chief Editor: Dirk M Elston, MD  more...
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Medical Care

Opaque cosmetics may be used as camouflage for Mongolian spots.


Surgical Care

The value of lasers in Mongolian spot is uncertain. However, in a retrospective study of 26 Japanese patients, the Q-switched alexandrite laser showed better outcomes in extrasacral lesions treated at a younger age. [47] The Q-switched ruby laser was used in the treatment of aberrant mongolian spots in 53 patients; it was more effective in exposed areas versus nonexposed areas. [11]

Intense pulsed light is also an effective method for the treatment of aberrant Mongolian spots. [48] . More recently, novel picosecond 755-nm alexandrite and 1064-nm Nd:YAG lasers have been used on three cases of ectopic Mongolian spots and one case of persistent Mongolian spot, with efficacious results after one treatment session and with minimal adverse events. [49]