Case study


How to cite: Seba MC, Lima JRT, Carvalho FI, Miziara CSM, Miziara ID. Mongolian spots can mimic body injuries: case report. Persp Med Legal Pericia Med. 2021; 6: e211117.

Submitted 02/21/2021
Accepted 03/24/2021

The authors inform there is no conflict of interest.


Maria Clara Cardoso Seba (1)

Julia Ribeiro Targa de Lima (1)

Fabiana Iglesias de Carvalho (2)

Carmen Sílvia Molleis Galego Miziara (2) –

Ivan Dieb Miziara (3)

(1) Acadêmica da Faculdade de Medicina do Centro Universitário ABC, Santo André – SP, Brasil.

(2) Professora Auxiliar da disciplina de Medicina Legal, Ética Médica, Deontologia Médica e Perícias Médicas do Departamento de Saúde da Coletividade da Faculdade de Medicina do Centro Universitário ABC, Santo André – SP, Brasil.

(3) Professor Titular do Departamento de Medicina Legal, Ética Médica, Deontologia Médica e Perícias Médicas da Faculdade de Medicina do Centro Universitário ABC, Santo André, SP, Brasil.

E-mail para correspondência:


Mongolian spots are congenital dermatological conditions often observed in the neonatal period resulting from the migration of melanocytes to the dermis during embryogenesis. They are bluish grey spots typically located in the lumbosacral region, which tend to regress in the first years of life. As skin lesions are frequent signs in infant maltreatment, Mongolian spots can be misinterpreted as ecchymoses, which would lead to a false diagnosis. This can culminate in serious and dramatic consequences for the patient and family, as well as overloading the public system. Therefore, it is essential that health professionals know how to differentiate Mongolian stains from injuries resulting from child abuse. This study aims to describe a case that was mistakenly attributed to mistreatment for the presence of Mongolian spots in atypical places.

Keywords: Mongolian spot, diagnosis, differential, child abuse.

Bibliographical references

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