Cafe au lait maculehttps://en.wikipedia.org/wiki/Café_au_lait_spot
Café au lait macule ni alama za kuzaliwa tambarare, zenye rangi nyingi.

Madoa haya huonekana kwa watu wenye afya, lakini yanaweza kuhusishwa na dalili kama vile neurofibromatosis aina ya 1. Idadi ya madoa inaweza kuwa na umuhimu wa kiafya kwa utambuzi wa neurofibromatosis. Madoa sita au zaidi ya kipenyo cha angalau 5 mm kwa watoto kabla ya kubalehe, na angalau 15 mm kwa watu walio baadaye ya kubalehe, ni mojawapo ya vigezo kuu vya uchunguzi wa neurofibromatosis.

Maumbo ya café au lait kwa kawaida huonekana tangu kuzaliwa, huwa ya kudumu, na yanaweza kukua kwa ukubwa au kuongezeka kwa idadi kadri muda unavyopita. Hata baada ya upasuaji wa laser, matokeo mara nyingi hayatolewi kabisa au yanaweza kurudi tena baada ya matibabu.

Matibabu
Kiwango cha kurudia ni cha juu, na matibabu ya laser yanahitaji muda mrefu.
#QS1064 / QS532 laser
☆ Katika matokeo ya 2022 ya Stiftung Warentest kutoka Ujerumani, kuridhika kwa watumiaji na ModelDerm kulikuwa chini kidogo kuliko na mashauriano ya matibabu ya simu yanayolipishwa.
  • Mipaka ya rangi ya sare na matangazo wazi mara nyingi huonekana katika utoto. Kwa ujumla, mipaka ni wazi zaidi kuliko ile iliyo kwenye picha hii.
  • Cafe au lait macule imeonekana katika Neurofibromatosis type 1 (NF-1)
References Laser treatment for Cafe-au-lait Macules: a systematic review and meta-analysis 37291616 
NIH
Matibabu ya laser yalionyesha kiwango cha kibali cha 50 % hadi 75 % kwa wagonjwa wa CALM, na 43 % walifikia kiwango cha 75 %. Kati ya aina mbalimbali za laser, QS‑1064‑nm Nd:YAG ilikuwa na matokeo bora zaidi. Kwa ujumla, aina zote za laser zilikuwa na athari ndogo, kama vile mabadiliko ya rangi na kuzidisha rangi, ikionyesha usalama mzuri.
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.
 Cutaneous manifestations in neurofibromatosis type 1 32901776
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: Diagnosis and Management 29431372
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.