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When do café-au-lait spots typically appear on a child?

  1. At birth

  2. In the first few months of life

  3. During puberty

  4. After childhood

The correct answer is: At birth

Café-au-lait spots are light brown, flat skin lesions that can be an important clinical indicator, particularly in conditions like neurofibromatosis. These spots typically appear at birth or shortly thereafter, which aligns with the idea that they can be present from the time of delivery. The appearance of these spots around the time of birth indicates that they are part of normal developmental variations but can also signify a need for further assessment if they appear in significant numbers or are larger than average. While they can be noted during infancy or early childhood, the definitive understanding is that they may be observed at birth. The other possibilities would imply a later development phase, which is not typically consistent with the usual presentation of café-au-lait spots.