Café-au-Lait (CaL) Spots Patches Edges

Please click to enlarge.

Note what signs you see.

I (W. Wertelecki, M.D.) see café-au-lait (CaL) spots or patches, depending on their size. I also note in the lower image an oval CaL with the major axis nearly horizontal. The edges are smooth and the pigmentation is uniform. Below there is another smaller CaL which probable emerged more recently.

In the upper image I see much larger irregularly hyperpigmented CaL with irregular edges.

PERSPECTIVE: The edges of the upper image are similar to the COAST OF MAINE (or Greece or Norway, etc.) and the lower image is similar to the COAST OF FLORIDA (or Jamaica, etc.).

The upper image – COAST OF MAINE – may be a signal of McCune-Albright syndrome. Please see a gallery.
The lower image – SMOOTH COAST – may be a signal of peripheral Neurofibromatosis (NF1). Please see a gallery