![]() Salmon patches are usually symmetrical, with lesions on both eyelids or on both sides of midline. Colloquially, the lesions on the forehead and eyelids are known as “angel’s kisses” and the ones in the occipital area as “stork beak marks” or “stork bite marks.” 1 Other, less common sites are the nasolabial folds, lips, and sacral area. 4 The lesions are most commonly found on the nape, followed by the glabella and eyelids (Figure 2). Salmon patches are scarlet to pink and flat, can be totally blanched, and usually deepen in color with vigorous activity (crying, straining with defecation, breathholding) or with changes in ambient temperature. Although usually an isolated finding, port-wine stain is also a typical feature of Sturge- Weber syndrome and Klippel-Trenaunay syndrome. The lesions are usually unilateral and segmental 3 they grow with the child and persist throughout life. 3 Port-wine stains can occur anywhere on the body however, the most common site is the face. Although the lesions are initially macular, the surface might become irregular, thickened, and nodular over time. The term “port-wine stain” is derived from the purplish red color of the lesions. The lesions often become dark red during adolescence and violaceous with advancing age. Port-wine stains usually present at birth as sharply demarcated red macules or patches (Figure 1). ![]() On the other hand, salmon patches are common and present in about 44% of all neonates. Port-wine stains are relatively uncommon, occurring in about 0.3% of all neonates. Port-wine stains (also known as nevus flammeus) and salmon patches (also known as nevus simplex) have distinctive clinical features that usually allow a straightforward diagnosis. Sometimes, it is virtually impossible to differentiate between a port-wine stain and a salmon patch clinically, which is very critical for management. Port-Wine Stain Versus Salmon Patch: How to Tell the Difference ![]()
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