Cafe au Lait Spot
Pediatric pt presents with multiple hyperpigmented macules and patches. Some lesions have been present since birth while others developed in childhood. Family h/o 1st degree relative with neurofibromatosis type 1. Exam reveals axillary/groin freckling, two cutaneous neurofibromas, and multiple hyperpigmented macules/patches with discrete borders measuring 0.2 to 30 cm in diameter.
Refer to ophthalmology to evaluate for iris hamartomas (Lisch nodules) and optic gliomas
Refer for genetic consultation
Pt advised that surgical or laser ablation of cafe au lait spots is only indicated for cosmetic purposes
Notes
Cafe au lait spots can be benign or associated with neurofibromatosis
If a patient does not meet NIH neurofibromatosis criteria, the macule is benign
NIH criteria for neurofibromatosis requires the presence of two or more of the following:
Six or more café au lait macules/patches larger than 5 mm in greatest diameter in prepubertal persons and larger than 15 mm in greatest diameter in postpubertal persons
Freckling in the axillary or inguinal region
Two or more neurofibromas of any type or one plexiform neurofibroma
Optic glioma
Two or more Lisch nodules (iris hamartomas)
A distinctive osseous lesion such as sphenoid dysplasia or thinning of long bone cortex with or without pseudoarthrosis
A first-degree relative (i.e., parent, sibling, child) with neurofibromatosis type 1 by the above criteria