Can multiple café-au-lait spots be normal?

Café-au-lait (CAL) spots are benign (noncancerous), harmless and will not affect your child's body. If your child has more than six CAL spots, visit your healthcare provider because multiple CAL spots can be a sign of an underlying genetic condition.
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How many café-au-lait spots are normal?

The size of café au lait spots can also vary. Spots can be as small as a half centimeter. The spots are usually present at birth but may develop later in life. Café au lait spots are harmless and normal, with some people having anywhere from one to three spots.
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Can café-au-lait spots be normal?

Café au lait spots are harmless and normal, with some people having anywhere from one to three spots. But sometimes, these spots can indicate an underlying genetic problem.
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Can you have 6 café-au-lait spots without neurofibromatosis?

Indeed, anyone can have 1 or 2 cafe-au-lait spots without having neurofibromatosis. The only significance to the cafe-au-lait spot is that it suggests the possibility that a person might have NF1. People with NF1 usually have many cafe-au-lait spots, sometimes hundreds, and almost always more than 6.
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When should I worry about café-au-lait spots?

Cafe au lait spots usually appear singly. More spots can occur in children with a genetic condition called neurofibromatosis or other conditions. If your child has six or more cafe au lait spots, ask your doctor whether your child needs a medical examination.
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Café-au-lait spots



Can you have multiple café-au-lait spots without neurofibromatosis?

Can you have café-au-lait spots without having neurofibromatosis? Yes. It is very common for people to have a few café-au-lait spots on their bodies without having an underlying condition like neurofibromatosis type 1 (NF1).
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Do café-au-lait spots always mean NF1?

The most common symptom of NF1 is the appearance of painless, coffee-coloured patches on the skin, called café au lait spots. However, not everyone with café au lait spots has NF1. The spots can be present at birth or develop by the time a child is 3 years old.
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Can you have multiple birthmarks?

People with NF1 may develop: Multiple birth marks. Six or more light brown-colored birthmarks (cafe-au-lait spots) may be located anywhere on the body. The spots usually appear before about 9 years of age.
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Can you have NF1 and not know it?

What Are the Signs & Symptoms of Neurofibromatosis Type 1? Most newborns with neurofibromatosis type 1 have no symptoms, but some have curved lower leg bones. By their first birthday, most children with NF1 have several skin spots, called café-au-lait ("coffee with milk") spots because of their color.
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At what age do neurofibromas appear?

They can be present at birth or may not become noticeable for many years. Although some cutaneous neurofibromas arise in childhood, most start appearing during or after the teenage years. Freckling usually appears by 3 to 5 years of age. Freckles are similar in appearance to café-au-lait spots but are smaller in size.
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What can be mistaken for neurofibromatosis?

Legius syndrome also is called a neurofibromatosis 1-like syndrome because its symptoms are similar to NF1. Individuals with Legius syndrome have skin problems including brown birthmarks, called cafe-au-lait spots, and freckling, as well as mild learning problems and a larger head.
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What do people with neurofibromatosis look like?

Signs and symptoms include: Flat, light brown spots on the skin (cafe au lait spots). These harmless spots are common in many people. Having more than six cafe au lait spots suggests NF1 .
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Can a dermatologist diagnose NF1?

NF1 is also the most common cancer predisposition syndrome. The diagnosis is often made by dermatologists who also operate on cutaneous neurofibroma tumours.
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Is it normal to have 2 birthmarks?

They can be anywhere on the body and sometimes increase in number as a child gets older. One alone is not a problem. But call your doctor if your child has 6 or more spots that are larger than a pencil eraser (for a younger child), or larger than a dime (for an older child).
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Why do I have lots of birthmarks?

Birthmarks generally result from an overgrowth of a structure that is normally present in the skin. For example, an overgrowth of blood vessels produces vascular birthmarks or haemangiomas; an overgrowth of pigment cells produces congenital naevi or moles.
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How many birthmarks does the average person have?

These birthmarks may be present at birth, or appear in early childhood, and do not fade much with age. One or two on an individual is common; however, four or more may be an indicator of neurofibromatosis.
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How do I verify NF1?

  1. The first and most common method is a clinical diagnosis. Your child's doctor will look for signs of NF1 in your child's skin, eyes, bones or brain.
  2. The second method is genetic testing, also called a molecular or DNA diagnosis. Your child will need to give a blood sample.
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Can you live a normal life with NF1?

If there are no complications, the life expectancy of people with NF is almost normal. With the right education, people with NF can live a normal life. Although mental impairment is generally mild, NF1 is a known cause of attention deficit hyperactivity disorder.
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How do you get rid of NF1 bumps?

There is no known treatment or cure for neurofibromatosis or schwannomatosis. Medication can be prescribed to help with pain. In some cases, growths may be removed surgically or reduced with radiation therapy.
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Is there a cure coming soon for neurofibromatosis?

Neurofibromatosis can be treated and managed, but there is no cure. MSK recently launched a neurofibromatosis center to improve the treatment of this disease. Neurofibromatosis is a genetic disorder that often leads to tumors throughout the nervous system, including the brain, spinal cord, and nerves.
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Does diet affect neurofibromatosis?

Excessive consumption of saturated fatty acids and lipids was also observed in both male and female patients. Conclusions: In this study, NF1 patients consumed an unhealthy diet that was rich in fats and sodium and lacking in fiber, vitamins, and minerals.
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What do NF1 tumors look like?

Neurofibromatosis type 1 (NF1) is a hereditary condition commonly associated with multiple café-au-lait spots on the skin. Café-au-lait spots are light brown in color, like the color of “coffee with milk.” About 10% to 25% of the general population has café-au-lait spots; NF1 is suspected when a person has 6 or more.
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Are neurofibromas hard or soft?

A neurofibroma is a type of nerve tumor that forms soft bumps on or under the skin. A neurofibroma can develop within a major or minor nerve anywhere in the body. This common type of benign nerve tumor tends to form more centrally within the nerve.
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What color are neurofibromas?

Dermal neurofibromas appear as soft, flesh-colored to pink or brown, exophytic papules or nodules. They may become pedunculated. Dermal neurofibromas may also present as more subtle blue or violaceous macules or slightly raised papulonodules. The tumors are easily invaginated (“buttonhole sign”).
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Who is most likely to get neurofibromatosis?

The only true risk factor for developing neurofibromatosis is having a parent who also has the condition. In nearly half of all cases of type 1 and type 2 neurofibromatosis, and in around 15 percent of schwannomatosis cases, the condition is passed down from parent to child.
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