Colorful skin spots on a pediatric patient can easily be mistaken as signs of child abuse. Professionals should therefore gain knowledge about Mongolian spots; also known as Mongolian blue spots. These are flat, congenital and benign birthmarks, commonly located in sacro-coccygeal or lumbar area of an infant. Child abuse is a major public health problem across the world. The most common manifestations of physical child abuse are cutaneous, and their recognition and differential diagnosis are of great importance. Mongolian spots may appear as signs of child abuse; however, Mongolian spots are harmless.