Cafe au lait macule
☆ U rezultatima Stiftung Warentest-a za 2022. iz Njemačke, zadovoljstvo potrošača ModelDerm-om bilo je samo nešto niže nego s plaćenim telemedicinskim konsultacijama.
Ujednačeno obojene granice i jasne mrlje često se pojavljuju u djetinjstvu. Generalno, granice su jasnije od onih na ovoj slici.
References
Lasersko liječenje je pokazalo stopu uklanjanja od 50% za 75% CALM pacijenata, sa 43% koji je postiglo stopu uklanjanja od 75%. Među različitim tipovima lasera, QS-1064-nm Nd:YAG je imao najefikasnije rezultate. Sve u svemu, svi tipovi lasera su imali niske nuspojave, poput hipopigmentacije i hiperpigmentacije, što ukazuje na dobru sigurnost.
To draw a conclusion, the laser treatment could reach an overall clearance rate of 50% for 75% of the patients with CALMs, for 43.3% of the patients, the clearance rate could reach 75%. When looking at different wavelength subgroups, QS-1064-nm Nd:YAG laser exhibited the best treatment capability. Laser of all the wavelength subgroups presented acceptable safety regarding of the low occurrence of side effects, namely, hypopigmentation and hyperpigmentation.
To draw a conclusion, the laser treatment could reach an overall clearance rate of 50% for 75% of the patients with CALMs, for 43.3% of the patients, the clearance rate could reach 75%. When looking at different wavelength subgroups, QS-1064-nm Nd:YAG laser exhibited the best treatment capability. Laser of all the wavelength subgroups presented acceptable safety regarding of the low occurrence of side effects, namely, hypopigmentation and hyperpigmentation.
Café-au-lait macules were shown in 1063 patients (96.5%), axillary and inguinal freckling in 991 (90%) and neurofibromas in 861 (78.1%). Other skin manifestations included: lipoma (6.2%), nevus anemicus (3.9%), psoriasis (3.4%), spilus nevus (3.2%), juvenile xanthogranuloma (3.2%), vitiligo (2.3%), Becker's nevus (1.9%), melanoma (0.7%) and poliosis (0.5%).
Pigmentation disorders are commonly diagnosed, evaluated, and treated in primary care practices. Typical hyperpigmentation disorders include postinflammatory hyperpigmentation, melasma, solar lentigines, ephelides (freckles), and café au lait macules.
Café au lait fleke se javljaju kod zdravih ljudi, ali mogu biti povezane sa sindromima kao što je neurofibromatoza tip 1. Broj fleka može imati klinički značaj za dijagnozu neurofibromatoze. Šest ili više mrlja od najmanje 5 mm u prečniku kod dece pre puberteta i najmanje 15 mm kod osoba u postpubertetskom periodu jedan je od glavnih dijagnostičkih kriterijuma neurofibromatoze.
Café au lait pege su obično prisutne pri rođenju, trajne su i mogu rasti u veličini ili u broju tokom vremena. Čak i nakon laserske operacije, mrlje često nisu potpuno uklonjene ili se mogu ponoviti nakon tretmana.
○ Treatment
Stopa recidiva je obično visoka i lasersko liječenje je potrebno jako dugo.
#QS1064 / QS532 laser