Cafe au lait macule - 咖啡牛奶斑
https://en.wikipedia.org/wiki/Café_au_lait_spot
☆ 德国 Stiftung Warentest 2022 年的结果显示,消费者对 ModelDerm 的满意度仅略低于付费远程医疗咨询。 

童年时期经常出现颜色均匀的边框和清晰的斑点。总体来说,边框比这张图更清晰。


Cafe au lait macule 见于Neurofibromatosis type 1 (NF-1)
relevance score : -100.0%
References
Laser treatment for Cafe-au-lait Macules: a systematic review and meta-analysis 37291616 NIH
激光治疗显示,75% 的 CALM 患者的清除率达到 50%,其中 43% 的患者清除率达到 75%。在各种激光类型中,QS-1064-nm Nd:YAG 的疗效最为显著。总体而言,所有激光类型的副作用(如色素沉着不足和色素沉着过度)均较低,表明其安全性良好。
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 32901776Café-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 29431372Pigmentation 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.
健康人也可能出现咖啡斑,但其出现常提示 1 型神经纤维瘤病等综合征。咖啡斑的数量在神经纤维瘤病的诊断中具有重要意义。青春期前,若儿童的咖啡斑直径 ≥5 毫米且数量 ≥6 个;青春期后,若斑点直径 ≥15 毫米且数量 ≥6 个,均符合神经纤维瘤病的主要诊断标准之一。
咖啡斑通常在出生时即存在,属于永久性标记,且可能随年龄增长而变大或增多。即使接受激光治疗,斑点往往难以完全清除,且有复发的可能。
○ 治疗
复发率较高,通常需要较长时间的激光疗程。
#QS1064 / QS532 laser