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Date 10 points 28 Replies, 15 Unread 28 Replies (15) Discussion Topic: Reimagining the Terms Mongolian Spot and SignReimagining the Terms Mongolian Spot and Sign The following information is reposted from the National Library of Medicine Website Links to an external site. Reimagining the Terms Mongolian Spot and Sign Monitoring Editor: Alexander Muacevic and John R Adler The term Mongolian Spot continues to be used within the most recent literature even though it is considered disparaging and marginalizing to a group of people. Our correspondence is intended to clarify terminology about this cutaneous physical finding and discuss the historical significance of the term Mongolian Spot in the context of more current guidelines and recommendations about naming diseases. This cutaneous condition has been more appropriately termed and is now colloquially referred to as congenital dermal melanocytosis (CDM). Other alternative names proposed include ink-blot macules, blue-gray macules of infancy, or slate grey nevus [1 Links to an external site.,2 Links to an external site.]. The term CDM is a generic descriptive term that explains whom it affects (congenital), location (dermal), and cell type (melanocyte). A CDM represents a cutaneous disease detected by observation and is not a clinical sign. A sign like a physical finding is an objective marker but differs in representing an attribution, inference, or requires an interpretation of its significance. Thus, it provides meaning or an explanation to a finding or observation and thereby aid in identifying and diagnosing disease. The physical findings and features that assist in distinguishing a CDM from an ecchymosis are its stability, distribution, location, color, and being non-painful to touch. Yale, S., Tekiner, H., & Yale, E. S. (2021). Reimagining the Terms Mongolian Spot and Sign. Cureus, 13(12). https://doi.org/10.7759/cureus.20396 Links to an external site. congenital dermal melanocytosis (CDM) on baby ankle In this discussion, consider how language to describe things has revealed cultural biases. The mental model around “Mongolian” in a manner that is disparaging to a population of people without consideration for the impact on the identity of its members is NOT uncommon within American culture. Educators, as first-line change agents, are able to remedy thoughtfulness, wellness, and pro-social language and behaviors in our practice. Share your thoughts, connections, and or acts of change you note as the result of this post, and considering as mandated reporters, you are also responsible for reporting things that may be a cultural practice but are seen as a sign of abuse (e.g., cupping, coining, etc.) MP Marie P.N. (She/Her/Hers) May 25 2:16am

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