A neonate has a flat pink lesion on the nose. The lesion has diffuse borders, blanch with pressure and become pinker with crying. The nurse practitioner should suspect

A neonate has a flat pink lesion on the nose. The lesion has diffuse borders, blanch with pressure and become pinker with crying. The nurse practitioner should suspect

• A. Port-wine stain
• B. Nevus simplex
• C. Telangiectatic nevus
• D. Nevus flammeus delicatus

Answer: (D)

This pattern reflects a benign superficial vascular patch that is common in newborns. A flat pink patch on the face, especially on the nose, with diffuse borders that blanches when pressed and becomes more noticeable or pinker with crying is characteristic of a telangiectatic nevus, also called a nevus simplex. When this delicate, pale version occurs on the central face and nose and tends to fade over the first months to years, it is referred to as nevus flammeus delicatus. The key clues are the flat, pink appearance, diffuse borders, blanching with pressure, and accentuation with crying, all pointing to a superficial capillary dilation that is expected to fade with time. In contrast, a port-wine stain would be deeper and more persistent with well-defined borders and would not simply fade over early childhood. No treatment is usually needed, and parental reassurance is appropriate, with follow-up to ensure resolution as the child grows.

This pattern reflects a benign superficial vascular patch that is common in newborns. A flat pink patch on the face, especially on the nose, with diffuse borders that blanches when pressed and becomes more noticeable or pinker with crying is characteristic of a telangiectatic nevus, also called a nevus simplex. When this delicate, pale version occurs on the central face and nose and tends to fade over the first months to years, it is referred to as nevus flammeus delicatus. The key clues are the flat, pink appearance, diffuse borders, blanching with pressure, and accentuation with crying, all pointing to a superficial capillary dilation that is expected to fade with time. In contrast, a port-wine stain would be deeper and more persistent with well-defined borders and would not simply fade over early childhood. No treatment is usually needed, and parental reassurance is appropriate, with follow-up to ensure resolution as the child grows.