Cafe-Au-Lait Spots, Multiple, also known as cafe au lait spots, multiple, is related to hyperpigmentation with or without hypopigmentation, familial progressive and fibromatosis multiple non ossifying. An important gene associated with Cafe-Au-Lait Spots, Multiple is NF1 (Neurofibromin 1). Affiliated tissues include skin and small intestine, and related phenotypes are multiple cafe-au-lait spots and freckling