Description

Cafe-au-lait spots are flat, coffee-colored patches of skin present at birth or appearing in early childhood, caused by a localized cluster of pigment-producing cells. A single spot is common and usually of no concern, though multiple large spots can sometimes be associated with an underlying genetic condition.

Causes

A localized overgrowth of melanocytes (pigment-producing cells) in the skin.

Prevention

These birthmarks cannot be prevented.

Treatment Options

Typically no treatment is needed. Laser therapy can lighten the appearance for those who want it removed.

Myths vs. Facts

Myth: Cafe-au-lait spots always signal a serious disease. Fact: One or two spots are extremely common and almost always harmless; it's having six or more larger spots that prompts a broader medical evaluation.

When to See a Dermatologist

If you notice several large cafe-au-lait spots (especially six or more), or if a spot changes over time.

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