Answer: A  Port-Wine Stain

Nevus spilus is a common but rare finding in phakaomatosis pigmentovascularis Type 4, which may also have port-wine stain, nevus spilus, dermal melanocytosis and nevus anemicus. Types 1 and 2 have the presence of epidermal nevi.

Reference: Hurwitz clinical pediatric dermatology. Paller. 4th ed. Ch 12

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