{"id":897,"date":"2023-01-05T21:35:25","date_gmt":"2023-01-06T02:35:25","guid":{"rendered":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/?post_type=chapter&#038;p=897"},"modified":"2023-01-05T22:07:29","modified_gmt":"2023-01-06T03:07:29","slug":"genodermatoses-neurofibromatosis","status":"publish","type":"chapter","link":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/chapter\/genodermatoses-neurofibromatosis\/","title":{"raw":"Genodermatoses: Neurofibromatosis","rendered":"Genodermatoses: Neurofibromatosis"},"content":{"raw":"<div style=\"font-weight: 400\">\r\n<h1>Neurofibromatosis<\/h1>\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nNeurofibromatosis is caused by a mutation in the NF-1 gene that leads to changes in a number of body systems. Several dermatologic findings are among the disease criteria and patients with skin findings concerning for NF should be referred to ophthalmology for examination for Lisch nodules and optic glioma.\u00a0 Referrals to other specialties such as neurology and genetics depend on the presentation and symptoms.\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n<div class=\"textbox textbox--examples\"><header class=\"textbox__header\">\r\n<div style=\"font-weight: 400\">\r\n\r\n<strong>Criteria for NF1 include:\u00a0<\/strong>\r\n\r\n<\/div>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<div style=\"font-weight: 400\">\r\n<div>\r\n<ul>\r\n \t<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"2\">\u2265\u22656 caf\u00e9 au lait macules &gt;5mm in size in children and &gt;15 mm in size in adults<\/li>\r\n \t<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"2\">\u22652 neurofibromas or any plexiform neurofibroma<\/li>\r\n \t<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"2\">Axillary or inguinal freckling<\/li>\r\n \t<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"2\">Optic glioma<\/li>\r\n \t<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"5\" data-aria-level=\"2\">Lisch nodules<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<span style=\"font-size: 1em;text-align: initial\">A similar, but distinct, condition called Legius syndrome is caused by mutations in the SPRED-1 gene and leads to development of caf\u00e9 au lait macules, but not neurofibromas.<\/span>\r\n\r\n<span style=\"font-size: 1em;text-align: initial\">\u00a0\u00a0<\/span>\r\n\r\n[caption id=\"attachment_921\" align=\"aligncenter\" width=\"300\"]<img class=\"size-medium wp-image-921\" src=\"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-05-at-6.45.15-PM-300x218.png\" alt=\"\" width=\"300\" height=\"218\" \/> Image 9.10: Cluster of cafe au lait macules seen in segmental neurofibromatosis[\/caption]\r\n\r\n<\/div>","rendered":"<div style=\"font-weight: 400\">\n<h1>Neurofibromatosis<\/h1>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Neurofibromatosis is caused by a mutation in the NF-1 gene that leads to changes in a number of body systems. Several dermatologic findings are among the disease criteria and patients with skin findings concerning for NF should be referred to ophthalmology for examination for Lisch nodules and optic glioma.\u00a0 Referrals to other specialties such as neurology and genetics depend on the presentation and symptoms.<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<div style=\"font-weight: 400\">\n<p><strong>Criteria for NF1 include:\u00a0<\/strong><\/p>\n<\/div>\n<\/header>\n<div class=\"textbox__content\">\n<div style=\"font-weight: 400\">\n<div>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"2\">\u2265\u22656 caf\u00e9 au lait macules &gt;5mm in size in children and &gt;15 mm in size in adults<\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"2\">\u22652 neurofibromas or any plexiform neurofibroma<\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"2\">Axillary or inguinal freckling<\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"2\">Optic glioma<\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"5\" data-aria-level=\"2\">Lisch nodules<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p><span style=\"font-size: 1em;text-align: initial\">A similar, but distinct, condition called Legius syndrome is caused by mutations in the SPRED-1 gene and leads to development of caf\u00e9 au lait macules, but not neurofibromas.<\/span><\/p>\n<p><span style=\"font-size: 1em;text-align: initial\">\u00a0\u00a0<\/span><\/p>\n<figure id=\"attachment_921\" aria-describedby=\"caption-attachment-921\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-921\" src=\"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-05-at-6.45.15-PM-300x218.png\" alt=\"\" width=\"300\" height=\"218\" srcset=\"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-05-at-6.45.15-PM-300x218.png 300w, https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-05-at-6.45.15-PM-65x47.png 65w, https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-05-at-6.45.15-PM-225x164.png 225w, https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-05-at-6.45.15-PM-350x255.png 350w, https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-05-at-6.45.15-PM.png 728w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-921\" class=\"wp-caption-text\">Image 9.10: Cluster of cafe au lait macules seen in segmental neurofibromatosis<\/figcaption><\/figure>\n<\/div>\n","protected":false},"author":1682,"menu_order":6,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-897","chapter","type-chapter","status-publish","hentry"],"part":885,"_links":{"self":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapters\/897","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/wp\/v2\/users\/1682"}],"version-history":[{"count":2,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapters\/897\/revisions"}],"predecessor-version":[{"id":929,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapters\/897\/revisions\/929"}],"part":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/parts\/885"}],"metadata":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapters\/897\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/wp\/v2\/media?parent=897"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapter-type?post=897"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/wp\/v2\/contributor?post=897"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/wp\/v2\/license?post=897"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}