Neurofibromatosis, Type I (Von Recklinghausen Disease) (Figure 2.21A–C) | Figure 2.21 A: CALMs* B: Neurofibromatosis* C: Neurofibromatosis* * Courtesy of Dr. Paul Getz |
AD, NF-1 gene, encodes neurofibromin (tumor suppressor protein)- Criteria: two or more of the following six:
| | | | | | | | Cafe au lait macule (CALM): > 0.5 cm prepubertal, >1.5 cm postpubertal | | | | |
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Six or more CALMs or two or more neurofibromas or one plexiform neurofibroma | Axillary or inguinal freckling (Crowe’s sign) | Optic glioma | Lisch nodules | Sphenoid wing dysplasia or thinning cortex of long bone | First degree relative with NF |
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- ↑ Risk of tumors: optic glioma, malignant peripheral nerve sheath tumor, neurosarcoma, juvenile myelomonocytic leukemia, rhabdomyosarcoma
- ± Hypertension, mental retardation (MR), seizures, kyphoscoliosis, endocrine disorder (precocious puberty, acromegaly, thyroid/parathyroid abnormalities)
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