Contents

SynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyReferences

Information for Patients

View all Images (5)

Salmon patch in Adult
Other Resources UpToDate PubMed

Salmon patch in Adult

Contributors: Eric Ingerowski MD, FAAP, Susan Burgin MD
Other Resources UpToDate PubMed

Synopsis

The salmon patch, also known as nevus simplex or nevus flammeus simplex, is the most common vascular lesion seen in infants of all races and ethnicities (20%-60% prevalence), usually at birth. The nape of the neck and occiput (also termed "stork bite"), and the lower forehead, glabella, upper eyelids, and sometimes the nose (also called "angel's kiss") are the most common sites. The sacral area, other sites on the scalp or trunk, and limbs are affected less often. There may be multiple lesions. Salmon patches enlarge in proportion to the child's growth. Facial salmon patches generally fade within 1-2 years, whereas those at other sites, especially nuchal, persist into adulthood.

A salmon patch is thought of by some as a type of capillary malformation, and by others as persistence of fetal circulation in the skin.

A variant of the salmon patch known as the butterfly-shaped mark can occur in the sacral region (sacral nevus flammeus simplex). Occult spinal dysraphism has been reported in association with sacral nevus flammeus simplex, although the true prevalence is unknown.

Codes

ICD10CM:
Q82.5 – Congenital non-neoplastic nevus

SNOMEDCT:
254211001 – Salmon patch nevus

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

To perform a comparison, select diagnoses from the classic differential

Subscription Required

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

References

Subscription Required

Last Reviewed:10/26/2025
Last Updated:10/26/2025
Copyright © 2026 VisualDx®. All rights reserved.
Patient Information for Salmon patch in Adult
Print E-Mail Images (5)
Contributors: Medical staff writer
Premium Feature
VisualDx Patient Handouts
Available in the Elite package
  • Improve treatment compliance
  • Reduce after-hours questions
  • Increase patient engagement and satisfaction
  • Written in clear, easy-to-understand language. No confusing jargon.
  • Available in English and Spanish
  • Print out or email directly to your patient
Copyright © 2026 VisualDx®. All rights reserved.
Salmon patch in Adult
A medical illustration showing key findings of Salmon patch : Confluent configuration, Erythema, Face, Irregular configuration, Blanching patch
Clinical image of Salmon patch - imageId=1705028. Click to open in gallery.  caption: 'Reddish macules and patches on the central forehead and upper eyelids.'
Reddish macules and patches on the central forehead and upper eyelids.
Copyright © 2026 VisualDx®. All rights reserved.