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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Freckle Inside An Freckle On The Scalp?

My son has something that looks like a freckle within a freckle beside his ear on the scalp. The outer circle is the size of the tip of a index finger light in color, slightly pink and the inner circle is more brown with the circle being the size of a tip on a sewing needle. We just cut his hair shorter than his typical cut so not sure how long this has been there. Should we go and see a doctor?
Thu, 11 Aug 2016
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Dermatologist 's  Response
hello
you seem to have described what could be a nevus(mole) or birthmark. It is possible to be present for many years. You have not mentioned the age of the child or his normal skin colour. But it seems to be what is called a halo nevus.
They are normally harmless and don't require treatment.
Do keep a watch on it for progressive increase in size or appearance of new moles elsewhere. Look for any other white patches or large moles/discolouration on the body. Since it is hidden by his hair in this case, it can be left alone.
In case it is enlarging or you wish to have it removed, procedures such as cautery excision of the dark area has been shown to clear the the discolouration.
But again keep in mind his age and observe for now.
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What Causes Freckle Inside An Freckle On The Scalp?

hello you seem to have described what could be a nevus(mole) or birthmark. It is possible to be present for many years. You have not mentioned the age of the child or his normal skin colour. But it seems to be what is called a halo nevus. They are normally harmless and don t require treatment. Do keep a watch on it for progressive increase in size or appearance of new moles elsewhere. Look for any other white patches or large moles/discolouration on the body. Since it is hidden by his hair in this case, it can be left alone. In case it is enlarging or you wish to have it removed, procedures such as cautery excision of the dark area has been shown to clear the the discolouration. But again keep in mind his age and observe for now.