When it's something big and can be mistaken for something else, it's better to be upfront about it. My older brother has a huge birthmark on his arm. He is lighter skinned than I am, and the birthmark is a bright red. People have thought that my mom burned him. (when he was little) And i had a few scares myself. It's odd to get on the school bus and have people you never talk to tell you there is something wrong with your brother. My mom learned to just let teachers and others know, the giant mark on his arm has been there since birth.
You're right about it being a concern regardless. Children of that age do not lie.
__________________ Littlest JakJak 
We miss you Kaji 
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