Neurology Book

Neurocutaneous

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Cafe-Au-Lait Macule

Aka: Cafe-Au-Lait Macule, Cafe-Au-Lait Spot, Cafe Au Lait
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  1. Pathophysiology
    1. Congenital or develops in early childhood
    2. Hyperpigmentation from increased Melanin deposition
  2. Epidemiology
    1. Often present at birth
    2. Isolated lesions are common - present in up to 30% of the population
  3. Red Flags: Criteria to consider associated conditions below
    1. Six or more lesions that meet size criteria
    2. Size criteria
      1. Prepubertal: Lesions 5 mm or larger
      2. Postpubertal: Lesions 15 mm or larger
  4. Associated Conditions
    1. Neurofibromatosis
    2. Tuberous Sclerosis
    3. Albright Syndrome
    4. Fanconi Anemia
  5. Signs
    1. "Coffee with milk" (tan to brown) colored flat Macule
    2. Usually located on trunk
    3. Size varies from <4 cm in infants to 30 cm in adults
  6. Management
    1. None needed
    2. Consider only for cosmetic reasons
  7. References
    1. Plensdorf (2009) Am Fam Physician 79(2): 109-16

Cafe-au-Lait Spots (C0221263)

Definition (NCI) A light brown, sharply demarcated skin patch. It is a manifestation of neurofibromatosis type 1 and McCune-Albright syndrome.
Definition (MSH) Light brown pigmented macules associated with NEUROFIBROMATOSIS and Albright's syndrome (see FIBROUS DYSPLASIA, POLYOSTOTIC).
Concepts Finding (T033)
MSH D019080
ICD10 L81.3
SnomedCT 14030008, 156433001, 201281002
English CAFE AU LAIT SPOT, Cafe au Lait Spots, Cafe-au-Lait Spot, Cafe-au-Lait Spots, Spot, Cafe-au-Lait, Spots, Cafe-au-Lait, Cafe au lait spots (disorder), Cafe-au-lait spots (disorder), Cafe-au-lait spot, Cafe au lait spots, Café au lait spots, Cafe au lait spot (disorder), Cafe-au-lait spots, Cafe au lait spot, Café au lait spot (disorder), Café au lait spot, cafe-au-lait spot, cafe-au-lait spot (physical finding), café au lait spots, Cafe-au-Lait Spots [Disease/Finding], au cafe lait spots, cafe au lait spot, cafe-au-lait spots, cafe au laits spots, cafe au lait spots, cafe au lait; spot, café au lait; spot, spot; cafe au lait, spot; café au lait, Cafe Au Lait Patch, Cafe Au Lait Spot, Café au lait spots (disorder)
Italian Macchie caffellate, Macchie color caffellatte
Japanese カフェ・オ・レ斑, ｶﾌｪｵﾚﾊﾝ
Swedish Cafe-au-lait-fläckar
Spanish manchas café con leche, manchas café con leche (trastorno), Cafe-au-lait spots, mancha de color café con leche (trastorno), mancha de color café con leche, manchas de color café con leche, manchas de color café con leche (trastorno), Manchas en café con leche, Manchas Café con Leche, Manchas Cafe con Leche
Czech skvrny bílé kávy, skvrny cafe-au-lait, Skvrny barvy bílé kávy
Finnish Maitokahviläiskät
Russian PIGMENTNYE PIATNA TSVETA KOFE S MOLOKOM, ПИГМЕНТНЫЕ ПЯТНА ЦВЕТА КОФЕ С МОЛОКОМ
German Cafe-au-lait-Flecken, Café-au-lait Flecken, Café-au-lait-Flecken
Korean 밀크커피색 반점
Polish Plamy kawa z mlekiem
Hungarian Café au lait foltok
Dutch café au lait; vlek, vlek; café au lait, Caf au lait-vlekkeno, café au lait vlekken, Café-au-lait-vlek, Café-au-lait-vlekken, Vlek, café-au-lait-, Vlekken, café-au-lait-
Portuguese Manchas café com leite, Manchas Café-com-Leite
French Taches café au lait, Taches café-au-lait
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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