Neurofibromatosis, Type I (Von Recklinghausen Disease)

(Figure 2.21A–C)
  • Figure 2.21 A: CALMs* B: Neuroflbromatosis* C: Neuroflbromatosis* * Courtesy of Dr. Paul Getz
    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
     
       
    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
     
       

  • ↑ 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)