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My son also has mongolian spots, but I was made aware of what they were prior to adopting, since my bothers were born with them as well. My son has his on his buttocks as well as his shoulder which he has a perfect round dark blue spot that looks like a tatoo. We had them documented at our first visit to the DR, but an a recent visit to the ER we still had to explain what they were to an EMT taking medical history.
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