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md:nf1

Neurofibromatosis NF 1

NF1 vs NF2 genetics

  1. NF1 more common – 1:3000
  2. both AD
    1. NF1: 17q11.2 ~ 50% de novo, neurofibromin
  3. NF1
    1. loss of function in NF1 genetics
    2. diagnostic criteria: cafe au-lait spots, axillary/inguinal freckling, Lishch nodules, NF, osseous lesion (sphenoid dysplasia, cortical thining of long bones), astrocytomas, 1st deg relative with NF1
  4. NF2
    1. much rarer 1:25,000
    2. diagnostic criteria: bilateral vestibular schwanomma, FH of NF-2,

Other features

  1. skin changes - including eye
  2. bone changes, scoliosis
  3. neurological complications - learning disabilities (30%), seizures (8%) ADHD, behavioral and psychosocial problems, abnormalities of speech
  4. tumor risk - pheochromocytoma, rhabdomyosarcoma, leukemia, Wilms tumor

Legius - milder NF1 type presentation

Plexiform neurofibromas

  1. natural history

Source

Kliegman, R., Behrman, R. E., & Nelson, W. E. (Eds.). (2016). Nelson textbook of pediatrics (Edition 20). Elsevier.

History

  • 2020-09-26 Created
md/nf1.txt · Last modified: 2020/09/26 06:38 by admin