Café-au-lait (CAL) spots are pigmented birthmarks that appear as patches on your skin with a light to dark brown color that differs from the tone of the rest of your skin. The term “café-au-lait” means “coffee with milk” in French, which refers to the color of the birthmark, comparing it to the creamy tone of a cup of coffee mixed with milk.
Café au lait spots, or café au lait macules, are flat, hyperpigmented birthmarks. The name café au lait is French for coffee with milk and refers to their light-brown color. Café au lait lesions with rough borders may be seen in McCune-Albright syndrome. In contrast, Café au lait lesions of neurofibromatosis have smooth borders. They are caused by a collection of pigment-producing melanocytes in the epidermis of the skin. These spots are typically permanent and may grow or increase in.
Café au lait spots, also called café au lait macules, giraffe spots, and the coast of Maine spots, are flat and hyperpigmented lesions found at birth (birthmarks). They are caused by the collection of melanocytes (pigment-producing cells) in the skin. They are usually light brown in color and can darken on sun exposure.
Cafe-au-lait spots and increased pigmentation of the hands, feet, and circumoral areas are frequently present. Many patients have dysmorphic features suggestive of Marfan syndrome including a typical habitus, pectus excavatum, scoliosis, and pes cavus. Proximal myopathy and peripheral neuropathy are sometimes seen.
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