Newborn Nursery at LPCH

Cafe Au Lait Spot

photo by Janelle Aby, MD

Cafe au lait spots are lighter in color than melanocytic nevi, but they also may be congenital macules. They are caused by an increased amount of melanin in both melanocytes and epidermal cells, and may increase in number with age. Most children with cafe au lait spots do not have neurofibromatosis, but the presence of six or more of these spots that are larger than 0.5cm diameter is considered to be a major clue to the diagnosis.

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