Blue scalp discoloration in infants caused by exogenous source

Sarah Catalano1, Vicki Roberts2, Markus Boos3,4

  • 1Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Pediatric Dermatology
|February 19, 2015
PubMed

Insights

Blue scalp patches in infants are often concerning, but two cases revealed the cause was benign ink transfer from baby wipe packaging. This highlights an important, easily overlooked, exogenous cause of infant scalp pigmentation.

Area of Science:

  • Pediatric Dermatology
  • Neonatal Care

Background:

  • Infant scalp blue patches present a wide differential diagnosis.
  • Considerations include vascular malformations, melanocytic lesions, and trauma.

Observation:

  • Two infants presented with blue discoloration on the vertex scalp.
  • Initial concerns prompted recommendations for advanced imaging and biopsy.

Findings:

  • The blue pigmentation in both cases resulted from ink transfer from baby wipe packaging stickers.
  • This represents an exogenous, benign cause of scalp discoloration.

Implications:

  • Recognizing this benign cause can prevent unnecessary diagnostic procedures.
  • Clinicians should consider external factors in evaluating infant scalp lesions.

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