Children with brown spots on the face can be considered as freckles, black seeds or florid chaff rash and other skin diseases. 1. Freckles: may be autosomal dominant, common brown dotted pigmentation spots on the face, often around the age of 5 years old, mostly occurring on the face, lesions may be round or ovoid light brown pinpoint-sized spots, susceptible to ultraviolet radiation. 2. Black child: also known as freckle-like nevus, can exist as an independent disease, may also be one of the characteristics of hereditary syndromes, such as hyperpigmentation – polyp syndrome, infants and young children to adults in all periods of time can occur, the formation of the skin, mucous membrane parts of the brown or dark brown spots. 3. florid chaff rash: its occurrence is mainly caused by Malassezia infection, in excessive sweating, high temperature and humidity or the application of glucocorticoids and other triggers, can be seen in children, the appearance of brown, light brown dotted rash, the surface covered with furfuraceous scales. Children with brown spots on the face can consult a doctor for a clear diagnosis and then targeted treatment.