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Dr. Andrew Rynne

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How hairy brown birth marks in my child can be treated ?

Our second son was born March 18, 2009 & seems like a very healthy 2 year old boy. At birth most of our son s back, and the back of his lower neck and a small part of his upper arm was mostly a dark chocolate brown color with extra hair growth . It was a caesarean birth without complications (I am USA Caucasian male age 55, normal healthy, 5 11 , 195 lb. & mom is a healthy Indonesian 5 4 , avg. weight, age 32 - both non-smokers) . He also has some other very small hairy brown birth marks mostly on his legs and one other quarter size brown hairy mark on his head . The hair growth on all of the brown area has been minor since birth, but hair growth is thicker and more concentrated on those areas compared to normal hair growth on the head. I don t think it is Ambras syndrome because the hair growth is relatively minor and not on his face at all. The hair is not growing at an unusually abnormal rate. We have seen no other abnormalities - he s healthy and active. Our 1st son was completely normal and is a healthy 5-year old. What might this be? What dangers if any could be in the future?
Thu, 12 Jan 2012
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Dermatologist 's  Response
Hi...Tom Wrensen..,
Thanks for choosing HCM.,
HAIRY NEVUS..... Usually brown to dark brown in pigmentation
Large surface area may involve scalp, face, trunk, or extremity
May develop nodules which warrant biopsy
Risk of melanoma transformation is 10-15%, and can occur in childhood
Treatment ranges from conservative observation with biopsy of suspicious areas to staged excision, often involving the use of skin balloon expanders or skin grafts...or LASER therapy
So don't worry...Transformation to cance is very less chance...,
But observe always the following.....A--B--C--D--E---
1) A-- Asymmetry...uneven.,
2)B-- Border of nevi ...irregular with poorly defined border.,
3)C-- Color...different shades from Brown to Black..,
4)D-- Diameter...mor than 6 mm in size..(Rubber eraser size).,
5)E-- Evolving....changes with growing...,
So keep in mind and aviod problematic HAIRY NEVI....ok good luck
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Dermatologist Dr. Gaurav Patel's  Response
hi
dont worry if he has no other sign
its just simple hairy nevus which is very common
u may go for laser removal if u want
but it will not have any serious effect on his health
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