### Understanding Café-au-lait Spots and Their Relation to Neurofibromatosis Café-au-lait spots are common skin pigmentation marks that typically appear light brown or coffee-colored, with irregular shapes and clear borders. These spots are common in newborns and children and are usually harmless. However, if a person has more than six café-au-lait spots larger than 0.5 cm in diameter, further evaluation may be needed to rule out Neurofibromatosis Type 1 (NF1). Neurofibromatosis Type 1 is a genetic disorder characterized mainly by café-au-lait spots on the skin, neurofibromas (small lumps under or on the skin), and other abnormalities in the nervous system, bones, or eyes. Given that you have more than six café-au-lait spots but no other apparent symptoms (such as pain or tumors), it is recommended to take the following steps to further evaluate your condition: 1. **Medical Evaluation**: Schedule an appointment with a dermatologist or geneticist for a comprehensive examination. The doctor may recommend genetic testing to confirm whether you have NF1. 2. **Regular Monitoring**: Even if there are currently no other symptoms, regular check-ups are advised to detect any new symptoms or signs early. 3. **Family History**: Although your parents do not have this condition, NF1 can be caused by a new mutation, so family history is not the sole criterion. 4. **Psychological Support**: The ongoing monitoring and uncertainty can cause psychological stress, so seeking psychological support may help you cope with potential anxiety. 5. **Lifestyle**: Maintaining a healthy lifestyle and avoiding unnecessary psychological and physical stress can contribute to overall well-being. In summary, while café-au-lait spots are usually harmless, in your case, further medical evaluation is crucial to rule out or confirm Neurofibromatosis Type 1.