Understanding Café au Lait Patches
Get clear and supportive guidance on café au lait patches. Discover what these pigmented marks might indicate and how healthcare professionals assess them.












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Café au lait patches are flat, pigmented birthmarks ranging in colour from light to dark brown. While usually harmless, multiple patches can sometimes be associated with genetic conditions.
Not always. A few café au lait spots can be completely normal. However, if you or your child has six or more patches larger than 5mm, it’s important to consult a healthcare professional to rule out conditions such as neurofibromatosis type 1 (NF1).
A single café au lait patch is typically benign and doesn’t usually require treatment. If you notice changes in size, shape, or number, a medical assessment can offer clarity and peace of mind.
Café au lait pigmentation is generally not treated unless for cosmetic reasons. Laser therapy may reduce visibility in some cases, but outcomes vary and recurrence is possible. A clinical evaluation can help you explore your options.
Diagnosis typically involves a physical examination. If several patches are present, further tests, such as genetic screening or imaging, may be recommended to identify any underlying conditions.