Doctor insights on:
Cafe Au Lait
Coffee spot: These are flat, well defined pigment patches that may not be evident at birth. A few <6 and < 1cm size at puberty are likely unimportant. They are common in the general population as benign but permanent findings. In greater numbers and larger size they may indicate a form of neurofibromatosis (there are several). Your dr can sort out your specific issue with after an exam & family history. ...Read more
Cafe au lait: Café au lait macules are observed in 95% of patients with neurofibromatosis type 1 (nf1), which is the most frequently occurring neurocutaneous syndrome. These spots may also be observed in patients without nf1. Other conditions in which they may be observed include mccune-albright syndrome, tuberous sclerosis, and fanconi anemia. ...Read more
Hyperpigmented area on side that is very hard to make out unless you stand in the light. Only ever so slightly darker than skin. Is this a cafe au lait?
Possibly: Cafe-au-lait spots are very common. A single one has no relevance, but more than three greater in size than a centimeter are suggestive of neurofibromatosis type 1, although need more info. Without seeing what you have cannot diagnose, but unless this is accompanied by other symptoms or is progressing, probably benign. See a dermatologist for more into. Good luck. ...Read more
Are cafe au lait birth marks on kids potentially dangerous? My son has 3 on his butt. Dr. says not serious. True?
True: But if more than 5-7 show up, point them out again. ...Read more
My son was born with two very small cafe au lait spots. He’s 5.5 now and I just noticed a new one. So 3 total. Can you get new spots?
Need to examine: Cafe au lait spots may be harmless or be associated with a syndrome. It would be prudent to consult your pediatrician for an evaluation. You may visit this site for information but do not get scared, see your baby's doctor: https://www. Ncbi. Nlm. Nih. Gov/pubmed/20888463 ...Read more
My baby developed several cafe au lait spots right after birth. 9 mon now & has about 10, 2 large ones. Early sign of a medical problem?
I have two small cafe au lait marks -. 5 and 1cm. I think I have one more about an inch wide, but is really pale so hard to tell. Normal?
Ok in normal people: Normal people can have a few light brown macules, also known as cafe-au-lait spots. One can ask her primary care doctor during her next routine check-up to look and see if there other spots that she can't see (due to location) but her doctor might be able to see. If there are six or more cafe-au-lait spots that are all bigger than 1.5 cm in an adult, her doctor may evaluate further. ...Read more
I have three cafe au lait spots measuring about 1-2cm max. I have another 2 that are about 5mm max. No other nf1 signs and am 25. Is this nf1?
Unlikely: According to diagnostic criteria for nf1 at least 2 of the following clinical features must be present in order to make diagnosis (for your age group): >5 cals (>15mm in diameter), >1 neurofibroma, freckling in axillary or groin area, optic glioma, >1 lisch nodule, a distinctive bony lesion, a 1st degree relative with nf1 according to the above criteria. Diagnosis may be confirmed by genetic test. ...Read more
I have three cafe au lait spots ranging from 1-3cm. They are very hard to see. I just found one today. No other nf1 symptoms. Could this still be nf1?
Unlikely: Unlikely because of not enough spots. There are different definition, but 6 or more sports greater than 1/4 inch size is a standard. So not probable. ...Read more
Hey I'm 22 and in the past couple of years I've developed cafe au lait spots one is rather dark and the others are getting darker should I b worried?
Recommend: Full-body dermatological evaluation annually. I would encourage you to get them checked - but not to worry. Take care. ...Read more
Possibly: It depends. If you are going to get some ornamental tattoo then it could possibly hide your spots. However, if you are considering tattooing your spots individually to "fill them in" then, technically yes, it might work. The trouble will be in getting the tattoo ink to match your skin color. And when your skin tans (if you tend to tan) the tattoos will not darken. Hope this helps. ...Read more
Number and size: Symptoms of nf1 may be seen at birth and may include light brown sports, six or more measuring 5 mm in greatest diameter in prepubertal individuals and over 15 mm in greatest diameter in postpubertal individuals. Two or more growths on the iris of the eye, a tumor of optic nerve, , development of two or more subcut. Nodules, neurofibromas and bone abnormalities of tibia, skull, and spine. ...Read more
Number of spots: Many people who do not have nf have a few café-au-lait spots. If a young child has five or more, at least ½ inch or 15 mm in size post puberty lookfor other signs such as neurofibromas — tumors along skin and lisch nodules, tiny, noncancerous tumors on the iris (the colored part of the eye). Consult physician to better assess individual signs for diagnosis. ...Read more
Possible: NIH diagnostic criteria for NF1 with two or more of following features:1)6 or more café-au-lait macules over 5 mm in diameter prepubertal individuals over 15 mm in greatest diameter in postpubertal. 2) 2or more neurofibromas or one plexiform neurofibroma.3)Freckling in armpit or groin areas4)Optic glioma (optic nerve tumor)5) > 2 Lisch nodules (iris of eye)6)typical bone lesions 7)1deg relative nf1 ...Read more
If 1 year old baby has three cafe au lait spots, does this mean nf1? How likely is it that he'll get more?
Not necessarily: Many people who do not have nf have a few café-au-lait spots. Usually start appearing in infancy. If a young child has five or more, at least ½ inch or 15 mm in size post puberty look for other signs such as neurofibromas — tumors along skin and lisch nodules, tiny, noncancerous tumors on the iris (the colored part of the eye). Consult physician to better assess individual signs for diagnosis. ...Read more
I went for one ipl session for my cafe au lait birthmark.2weeks later it's uneven and seems darker, is this cause for concern?
Laser: It takes time for hypergmented lesions to be removed be patient. ...Read more
My son was born with one small (.4cm) cafe au lait spot. He is 5 months now and I think I see another small one. Is this likely nf1?
May develop later: Symptoms of nf1, which may be evident at birth and nearly always by the time the child is 10 years old, pigmented, light brown spots, six or more measuring 5 mm in greatest diameter in prepubertal individuals and over 15 mm in greatest diameter in postpubertal individuals, freckling of armpits, nodules or neurofibromas, 2 or more, two or more growths on the iris of the eye, a tumor on the optic n. ...Read more
I have always had many/large cafe au lait spots. Recently, similar irregular shaped pigment is appearing in new areas and darker/larger? Worried?
See derm: With any change is shape/size/irregular borders, new lesions showing up, it is best to see the Dermatologist and get a good skin evaluation so your worries are alleviated by knowing you are being taken care of by the best doctor to do so. Good luck. ...Read more
Baby was born with a small (5mm) cafe au lait spot. Looks like he's getting another one but he's 1 year now. I have two small ones. Could this be nf1?
Some findings in nf1: Symptoms of nf1, which may be evident at birth and nearly always by the time the child is 10 years old, pigmented, light brown spots, six or more measuring 5 mm in greatest diameter in prepubertal individuals and over 15 mm in greatest diameter in postpubertal individuals. These are criteria for skin lesions and nf1. Armpit freckling, iris lesions, skin and subcut nodules some other findings ...Read more
In my lower hip, next to my but, I have a very lightbrown spot and it looks like a cafe au lait spot. Its irregular shaped. Should I be worried? 1.9cm in D
In my lower hips, next to my butt, I have a very lightbrown spot and I think its a cafe au lait spot. Its irregular shaped. Should I be worried? 1.9cm in D
New?: The issue is whether this has been present for a long time and just accidentally discovered or something newly developed. Although it is most likely ok you need to keep an eye on it and consider asking your doctor to check it out since it is impossible to tell what you have by the description. ...Read more
Cafe au lait: Spots can appear at any time.Get a more detailed answer ›
What do you suggest if my son had 2 seizures and has cafe au lait spotscould this be neurofibromatosis?
It's true that people with NF have seizures and cafe au lait spots. It may be there are other findings too. There are several things a person may have before the diagnosis is made. So the diagnosis is not confirmed yet.
Does anyone else have NF though? It is often an inherited condition.
Preventing the seizures is important, and perhaps some regular check ups in the future. ...Read more