Reasons for Many Large Cafe Au Lait Spots in Son Still Undiagnosed.

Updated on May 23, 2012
L.T. asks from Yelm, WA
5 answers

My 8 yr old went to the genetics clinic because the dermatologist thought he should have genetics testing done. They only sent him for xrays and called today and said they were fine. I asked about doing genetic testing since I got the referral and the insurance will pay. The doctor said they weren't too accurate. I had read online about genetic testing they can do to help diagnose what can be causing this. He also gets headaches, chest and joint pains, dizzy, nauseaus, one eyelid is noticable lower than the other, has had a big eye prescription change the last 2 yrs, had to repeat 2nd grade because he just couldn't keep up with the other kids. I read other posts and those doctors were concerned. Mine are ready to blow him off and I told her I've been trying to get my own diagnoses for 4 yrs and I'm not wanting him to have to wait. For the past yr, we've been taking him for his joint and chest pains. It's just recent that I asked this pediatrician about the large spots all over his back, chest, neck. He got a skin scrape when he was 1 1/2 and the spots started coming but that was normal. Every doctor since then has said it's just the way he's made. Now my 5 yr old is getting them on his neck. Does anyone know what tests to ask to be done? I'm having to research different things now and email the genetics doctor to tell her what disorders could cause this and what tests I wanted. This is her speciality, not mine and I can't find what to tell her.

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So What Happened?

Actually his appt was in the Providence/ Sacred Heart Children's Hospital. I pushed for more test. She ignored my concerns. I emailed her a list of what tests I found for the gene mutations and other disorders with cafe au lait spots. She blew me off and I emailed the hospital with my concerns because my son has terrible chest pains often. I emailed the Sacred Heart children's Hospital in Seattle to let them know he wasn't getting testing done. Today I took my 5 yr old to the dermatologist because he has had this tiny bump on his back for over a year. It looked and felt like a tiny rock under the skin. I've taken him to his PCM, the dermatologist he referred me to, and then my 2nd opion dermatologist that I picked. It measured a 5 mm? a month ago and he told me to come back if it changed. It looked like it got infected so I took him back and it's an 8 now which is smaller than it was when it first looked infected. Are these lumps under the skin like tiny rocks and feel hard? I pictured lumpy soft things not hard. So they will remove this in 2 weeks if my 5 yr old doesn't move too much. They gave me numbing cream. They will send it off so maybe I will get answers through him and can help my older son.

More Answers

T.C.

answers from Austin on

I hope the geneticist can help you. If the spots are what is called Cafe au Lait spots, this is most often caused by Neurofibromatosis. My husband has it, and my son has the spots. That's ALL they needed to diagnose it in my son. It is genetic, 50% chance of passing it on, but no one further back than my husband has it in his family. For my husband, no day-to-day symptoms, but benign tumors under the skin that grew large enough to have to be removed. For my son, no symptoms but more frequent testing of eyes, ears, etc. to make sure nothing's happening.
Forgot to add, my son has light skin, and the spots look like giant freckles or birthmarks.

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G.B.

answers from Oklahoma City on

Dark spots on children that have darker skin can sometimes be Mongolia Spots. But I am not sure anything else is in that diagnosis.

I certainly hope you find a doc that will take you guys and find out what is wrong. It sounds miserable.

A.S.

answers from Iowa City on

People with McCune-Albright Syndrome sometimes have cafe au lait spots.

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S.C.

answers from Seattle on

My son is nine and has several cafe au lait spots. He is half hispanic and these spots are more common in asian/african american and hispanic people. My son's ped sent us to a geneticist to rule out neurofibromatosis. They could not say 100% that he didn't have it, but were reasonable sure he didn't. We also had his eyes tested to help further rule out the possibility. We could have pushed for more genetic testing, but since my husband has several and is ok, I decided to drop it. I would push for the genetic testing just for peace of mind.

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M.C.

answers from Washington DC on

Have you thought about contacting Children's Hospital? They have all sorts of specialists that could help.

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