When assessing the client with multiple café au lait macules (CALMs), the nurse should also be alert for:
A) neurofibromas.
B) patches of unpigmented skin.
C) alopecia.
D) psoriasis.
A) neurofibromas.
Explanation: A) Multiple CALMs may indicate genetic disorders. The genetic disorder most often associated with CALMs is neurofibromatosis type 1 (NF1), an autosomal dominant disorder.
B) Vitiligo is an acquired pigmentary disorder where patches of skin, hair, or mucous membranes lose color.
C) Comorbidities of vitiligo, not CALMs include thyroid disorders, psoriasis, pernicious anemia, alopecia areata, inflammatory bowel disease, and systemic lupus erythematosus.
D) Comorbidities of vitiligo, not CALMs include thyroid disorders, psoriasis, pernicious anemia, alopecia areata, inflammatory bowel disease, and systemic lupus erythematosus.
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