Doctor insights on:
Do Multiple Cafe Au Lait Spots On My Baby S Skin Mean He Has A Serious Disease
Dermatologist says my infant son has developed a congenital nevus (specifically a cafe au lait spot) on his face within past few weeks. How likely will this turn into a huge, black, hairy mole? Nervous! :- (
Not going to happen: The black hairy nevus (bathing trunk nevus) does not arise from a café au lait spot. The BHN is visible at birth in its true form. It can expand some as the kid grows, but is a separate issue from the more common café au lait spots. ...Read more
1 ash leaf spot, 1 cafe au lait spot, sleep myoclonus in 5 year old; how are dermatologic skin lesions related to nerves? Can u please explain?
It's embryology: The embryonic neural tube, which will develop into the brain and spinal cord, induces the formation of a new type of cell superiorly, called neural crest cells. They will become many different cell types, including melanocytes, which make pigment in the skin, as well as an amazing number of others, including neurons of the sympathetic and parasympathetic nervous system, So they are related. ...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
Maybe: It is best to talk with your doctor if you notice a large number of cafe-au-lait spots. A few may not be a sign of any underlying illness (my daughter has a huge one since birth on her trunk). However, multiple spots may can be a sign of a rare conditoin called "neurofibromatosis". There are other features that are associated with this condition so consult your doctor if you have any concerns. ...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?
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
How are cafe au lait spots linked to autism or neural disorders in toddlers? They recently were noticeable in our 2 year old
My son has two cafe au lait spots and possible epilepsy (nocturnal seizures). Doctor mentioned genetic disorder. Is it possible?
Yes, it is possible: Whenever a child has more than one thing going on, or one thing (e.g. Seizures) and additional physical findings (e.g. Cafe au lait spots) the possibility of a genetic condition behind findings increases. Both seizures and cafe au lait spots separately are relatively common. Combination increases, but does not diagnose, a genetic cause. I would recommend formal evaluation by a clinical geneticist. ...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
I have a cafe au lait spot the size of a pea next to my nipple sometimes it hurts and sometimes just my nipple hurts. What does that mean?
Tender cafe au lait: These as small flat pigmented birthmarks. They are sometimes (if more than 6 and larger than 5 mm before puberty) a sign of neurofibromatosis and needs to be checked. Assuming this isn't the case - I think its benign and nothing to worry about - I suspect your pain may be coming from the nipple - perhaps from excessive irritation from your bra. Cafe au lait are usually benign. Good luck ...Read more
My 5 week old baby has developed a cafe au lait spot on his face. Is there anything that can be done to remove it? If so, how old does he need to be?
Doubt it: You can consult with a dermatologist on the emerging treatments for skin lesions but I doubt you will find a good one. They can remove blood vessel marks deep in the skin with lasers that leave the surface alone, but café au lait spots are superficial & pigment related. Keep track of the size & number of these as they emerge & share this with his doc. ...Read more
Depend on cause: An oculoplastic surgeon or dermatologist can determine the cause of pigmented brown spots. Most often these are seborrheic keratosis or pigmented papillomas, they can be easily removed. If they are large freckles, they are more prone to reoccur. Consult your doctor as previously advised. ...Read more
See a dermatologist: Your best bet is to make and appointment with a dermatologist. ...Read more
See your local Face: Specialist. You have lots of options depending in your specific appearance. Topical treatments may help, but chemical peels or laser treatments are often very effective at improving skin tone, texture and eliminating pigment issues. Also, while most "brown spots" are signs of sun damage, melanoma can show up as a brow spot. Not enough space here, look up "melanoma abcd" for more info. ...Read more
Brown skin spots: Can be discoloration of skin caused by a variety of causes. ...Read more
if you are still early in the healing period (6 months), just watch it for now. Sometimes the trauma of surgery will make these spots worse. Wear sunscreen religiously. If it is still present after that time period, ask your doctor. A laser or cream may help.
nima shemirani. ...Read more
Very tender spot on top of head where babies get soft spots that burns when touched sometimes. Liquid comes out (clear smooth liquid). What is this?
Scalp lesion?: The bones of the skull should have been fused for a very long time now (you are 26, right?). I suspect that what you are referring to is a superficial scalp lesion; however, the only way to determine is to be seen by a physician so that they can examine the area of concern and then treat accordingly. Take care of you can make an appointment. ...Read more
Anterior fontanelle: Should be easy to feel by gently touching with the soft part of the fingertips whether wet or dry. It usually closes at around a year of age, but the timing is quite variable. ...Read more
I am almost 5 months post natal and have a sore area at the top of my head almost where you would find a babies soft spot. What could this be?
Possibilities: Dermatology is pretty visual, so it's hard to know what is going on without seeing it. Tinea capitis (ringworm of the scalp) can present this way, as can an inflamed cyst, or even a localized bacterial infection (abscess or folliculitis). A dermatologist should be able to help sort this out either by close examination, culture, or perhaps skin biopsy. ...Read more
What are white matter brain lesions caused by. I have fibromyositis and one on my spine. I have elevated copper levels, cafe au lait spots on body, face?
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
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
Is it possible for misdiagnosed? I have nf1 geneticly and TSC because have cafe au lait spots TSC doesn't run in family how did I get it?
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
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 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
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
Mother had unilateral acoustic neuroma at 34, I have 4 small cafe au lait spots and my son has 2 small ones. Mother doesn't have any. Nf1?
? Von Recklinghausen': Probably, some hereditary component here, and sounds like incomplete penetrance. This, however, can be blood tested and confirmed or disconfirmed, so not a bad idea to get a clear fix on risk factors. However, possibility of future acoustic neuromas in other family members is low statistically. ...Read more
Variable: Nf is very variable in expression and progression. Nf1 can affect the skin (neurofibromas, cafe au lait spots), eyes (gliomas), bones (scoliosis and pseudarthrosis)nerves with neurofibromas, and a person's general constitution (adhd and mental retardation).More severe cases are usually detected earlier in life. Brain areas of dysplasia or tumor can occur. Neurologist and possible mr of brain suggested. ...Read more
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