Title
Multiple Cafe au Lait Spots in a Group of Fair-Skinned Children without Signs or Symptoms of Neurofibromatosis Type 1
UMMS Affiliation
School of Medicine; Department of Pediatrics, Division of Dermatology; Department of Pediatrics, Division of Genetics; Department of Medicine, Division of Dermatology
Publication Date
2016-09-01
Document Type
Article
Disciplines
Dermatology | Pediatrics | Skin and Connective Tissue Diseases
Abstract
BACKGROUND: The presence of six or more cafe au lait (CAL) spots is a criterion for the diagnosis of neurofibromatosis type 1 (NF-1). Children with multiple CAL spots are often referred to dermatologists for NF-1 screening. The objective of this case series is to characterize a subset of fair-complected children with red or blond hair and multiple feathery CAL spots who did not meet the criteria for NF-1 at the time of their last evaluation.
METHODS: We conducted a chart review of eight patients seen in our pediatric dermatology clinic who were previously identified as having multiple CAL spots and no other signs or symptoms of NF-1.
RESULTS: We describe eight patients ages 2 to 9 years old with multiple, irregular CAL spots with feathery borders and no other signs or symptoms of NF-1. Most of these patients had red or blond hair and were fair complected. All patients were evaluated in our pediatric dermatology clinic, some with a geneticist. The number of CAL spots per patient ranged from 5 to 15 (mean 9.4, median 9).
CONCLUSION: A subset of children, many with fair complexions and red or blond hair, has an increased number of feathery CAL spots and appears unlikely to develop NF-1, although genetic testing was not conducted. It is important to recognize the benign nature of CAL spots in these patients so that appropriate screening and follow-up recommendations may be made.
DOI of Published Version
10.1111/pde.12936
Source
Pediatr Dermatol. 2016 Sep;33(5):526-9. doi: 10.1111/pde.12936. Epub 2016 Jul 28. Link to article on publisher's site
Journal/Book/Conference Title
Pediatric dermatology
Related Resources
PubMed ID
27469520
Repository Citation
St. John J, Summe HS, Csikesz C, Wiss K, Hay BN, Belazarian L. (2016). Multiple Cafe au Lait Spots in a Group of Fair-Skinned Children without Signs or Symptoms of Neurofibromatosis Type 1. Pediatric Publications. https://doi.org/10.1111/pde.12936. Retrieved from https://escholarship.umassmed.edu/peds_pp/93