ABSTRACT

CACL = Canadian Association for Community Living.

Café-au-lait patches Patches of increased pigmentation of the skin which are usually pale yellow or light brown (coffee coloured). These spots are generally irregular in outline and oval in shape although many different shapes and sizes may occur. They may be present at birth or appear during childhood. Multiple café-au-lait spots are unusual in normal children and are signs of several conditions associated with mental handicap including Louis-Barr syndrome, tuberose sclerosis, Silver’s syndrome and Von Recklinghausen’s disease.