A 3-year-old girl attends the pediatric dermatology clinic with her mother. She has a red lesion on her left ear, which her mother fears will lead to bullying in school. The lesion is entirely asymptomatic. Her parents first noticed the lesion shortly after birth and describe it as having the appearance of a red ‘stain’. Shortly before her six-week check, it was beginning to enlarge and it grew until she was approximately four months old. Her mother feels it has been fairly static subsequently.
The child is otherwise well; she was born at term and is fully vaccinated to date. There is no family history of birthmarks or other skin lesions. Examination She is thriving with height and weight between the 50th and 75th centiles for her age. She has an elevated, dome-shaped, dusky red, rubbery, non-tender lesion on the dorsal aspect of the lobule of her left ear (image attached). The…
