Diagnostic Pearls. a tumor on the optic nerve Flat, pigmented birth marks are typically described as café au lait (French for coffee with milk) spots or macules, but other names that appear in the literature include giraffe, coast of California, and coast of Maine spots.These lesions are light brown in color but can vary in pigment. Two or more café au lait macules were not observed in any of 4000 white newborns, although they were found in 8% of black newborns. (A) Before laser treatment, irregular facial spots were irregular shape, jagged edge; (B) after one‐time treatment spots (only the left side of the red line is treated by laser) faded significantly [Color figure can be viewed at wileyonlinelibrary.com]. ; Pigmentary mosaicism / nevoid hypermelanosis – Often occurs in the same demographic as CALMs so can be difficult to differentiate … 201281002 – Café au lait spot Look For. In Babies. Café au lait spots that confirm the diagnosis of NF1 occur at an estimated frequency of 1 in 3500 persons. Two‐year‐old children patient with irregular shape of facial Café‐au‐lait spots before and after the laser treatment. freckles in the armpit or groin. Differential Diagnosis & Pitfalls. Previous Next 2 of 7 Cafe au lait spot. Neurofibromatosis type 6 (NF6), also referred as café-au-lait spots syndrome, is a cutaneous disorder characterized by the presence of several café-au-lait (CAL) macules without any other manifestations of neurofibromatosis or any other systemic disorder. To determine if a person has NF1, doctors look for at least two of the following: six or more café-au-lait spots. This is done to check for NF2. Congenital melanocytic nevus – Usually raised in comparison to CALMs and has some variation in pigmentation. Usually, no treatment is needed. Cafe-au-lait spots and increased pigmentation of the hands, feet, and circumoral areas are frequently present. In childhood, solitary café au lait macules occur in 13% of whites and 27% of blacks. pigment clumps in the eye. The possibility that the birthmarks may become darker with age may cause low self-esteem in teenage years. Consult a dermatologist for treatment options for large birthmarks on the face. Cafe au lait spots usually appear singly. Many patients have dysmorphic features suggestive of Marfan syndrome including a typical habitus, pectus excavatum, scoliosis, and pes cavus. Subscription Required. Subscription Required. neurofibromas. They can occur anywhere on the body, and the size increases as the child grows. Café au lait spots on the face may be a cosmetic concern, especially for women. They are permanent and very common. Cafe au lait spots. Your doctor can use special lamps to look for café-au-lait spots (for NF1) Ear exam and hearing test. ; Familial multiple café au lait spots have been observed without NF-1 diagnosis. Cafe au lait (ka-FAY o lay) birthmarks are flat areas of darkened skin, anywhere from tan to dark brown. Café au lait spots can arise from diverse and unrelated causes: Having six or more café au lait spots greater than 5 mm in diameter before puberty, or greater than 15 mm in diameter after puberty, is a diagnostic feature of neurofibromatosis type I, but other features are required to diagnose NF-1. It causes multiple café au lait spots (patches of tan or light brown skin) and neurofibromas (soft, fleshy growths) on or under your skin. Cafe au lait spots also called cafe au lait macules, are common birthmark presenting as hyperpigmented lesions that may vary in color from light brown to dark brown; this is reflected by the name of the condition, which means “coffee with milk” 1).The borders may be smooth or irregular. 29 10.0 RISK MANAGEMENT PLAN 10.1 RISK MANAGEMENT OBJECTIVE The purpose of the Risk Management Plan is to identify the risks for the Café Au Lait event launch, and develop strategies to mitigate and avoid the issues that are outlined.