Can NF1 be detected during pregnancy?

Neurofibromatosis screening tests can be performed prenatally (while a fetus is in utero) to help determine whether an individual will be born with the condition. However, prenatal neurofibromatosis tests are typically only given when one or both parents have the condition.
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Can amniocentesis detect NF1?

Clinical genetic testing can confirm the presence of a mutation in the neurofibromatosis type 1 (NF1) gene. Prenatal testing for an NF1 mutation is also possible using amniocentesis or chorionic villus-sampling procedures.
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How accurate is genetic testing for NF1?

In cases where a clinical diagnosis of NF1 is inconclusive or needs to be confirmed, genetic testing is currently available that can diagnose NF1 with 95% sensitivity by sequencing a person's NF1 gene to identify mutations.
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Does neurofibromatosis affect pregnancy?

There are different opinions about the implications of neurofibromatosis on pregnancy. Some authors have suggested an increased frequency of obstetric complications such as spontaneous miscarriage, preterm delivery, preeclampsia, intrauterine growth restriction, stillbirths and increased rate of caesarean section.
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How do you confirm NF1?

  1. The first and most common method is a clinical diagnosis. Your child's doctor will look for signs of NF1 in your child's skin, eyes, bones or brain.
  2. The second method is genetic testing, also called a molecular or DNA diagnosis. Your child will need to give a blood sample.
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Module 2 - How early in pregnancy can NIPT cfDNA screening be done



How do I know if my baby has neurofibromatosis?

Light brown spots on the skin called café-au-lait spots. These are the most common signs of NF, and they often appear at birth or in the first years of life. They're harmless, but if your child has more than six, she probably has NF1. Freckles in the armpits or groin area also are signs of NF1.
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Can a blood test detect neurofibromatosis?

A blood test is available for genetic testing to see whether a mutation in the neurofibromatosis type 1 gene is present. A diagnosis of neurofibromatosis type 1 is still possible in people who don't have an identifiable mutation. Testing can now also be performed for SPRED1.
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Can NF1 cause miscarriage?

Most of the current obstetric literature indicates that pregnant women with NF1 have increased risk of complications like spontaneous miscarriage, preterm delivery, preeclampsia, intrauterine growth retardation, stillbirths as well as maternal disease aggravation.
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When do NF1 tumors appear?

They can be present at birth or may not become noticeable for many years. Although some cutaneous neurofibromas arise in childhood, most start appearing during or after the teenage years. Freckling usually appears by 3 to 5 years of age. Freckles are similar in appearance to café-au-lait spots but are smaller in size.
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How can NF1 be prevented?

Can neurofibromatosis be prevented or avoided? You cannot avoid NF. You can have genetic testing to see if you carry the gene.
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Can you have NF1 without café-au-lait spots?

It is very common for people to have a few café-au-lait spots on their bodies without having an underlying condition like neurofibromatosis type 1 (NF1). People diagnosed with NF1 usually have more than six café-au-lait spots on their bodies along with additional symptoms related to their diagnosis.
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Does NF1 affect teeth?

In particular, complex retentions of teeth have to be expected in NF1 (25). Two oral health studies on NF1 patients have already been performed in other countries. A study from Canada (27) revealed significantly higher rates of decayed teeth in patients with NF1 than in a reference group of healthy individuals.
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Is there a cure coming soon for neurofibromatosis?

Neurofibromatosis can be treated and managed, but there is no cure. MSK recently launched a neurofibromatosis center to improve the treatment of this disease. Neurofibromatosis is a genetic disorder that often leads to tumors throughout the nervous system, including the brain, spinal cord, and nerves.
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Can a dermatologist diagnose NF1?

NF1 is also the most common cancer predisposition syndrome. The diagnosis is often made by dermatologists who also operate on cutaneous neurofibroma tumours.
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Does NF1 always get worse with age?

Typically, adults with NF1 will develop more neurofibromas over time. They may grow for a period of time and then stop growing. In addition, they may change in shape or color as they grow. Sometimes, they can also be associated with itching or slight discomfort when bumped.
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Who is most likely to get neurofibromatosis?

The only true risk factor for developing neurofibromatosis is having a parent who also has the condition. In nearly half of all cases of type 1 and type 2 neurofibromatosis, and in around 15 percent of schwannomatosis cases, the condition is passed down from parent to child.
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Can NF1 skip a generation?

Only one parent need be affected to cause a child to have NF1 (autosomal dominant inheritance). NF1 does not skip generations. Sporadic or random pathogenic variants in the gene responsible for NF1 account for the remaining 50% of cases and occur when a child has NF1 but neither parent does.
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Can you have a neurofibroma without having neurofibromatosis?

Solitary neurofibromas can also occur in people who don't have NF. These are called sporadic neurofibromas. Their cause is not known, although researchers are exploring the role of trauma. Most sporadic neurofibromas don't cause pain and can be managed without surgery or medication.
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What is neurofibroma?

Neurofibromatosis (NF), a type of phakomatosis or syndrome with neurological and cutaneous manifestations, is a rare genetic disorder that typically causes benign tumors of the nerves and growths in other parts of the body, including the skin.
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How rare is NF2?

NF2 is a rare disorder that affects males and females in equal numbers. All races and ethnic groups are equally affected by this disorder. The estimated incidence of NF2 is 1 in 33,000 people worldwide. The symptoms of this disease typically become apparent during puberty or early adulthood.
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What is NF1 disease?

Neurofibromatosis type 1 is a condition characterized by changes in skin coloring (pigmentation) and the growth of tumors along nerves in the skin, brain, and other parts of the body. The signs and symptoms of this condition vary widely among affected people.
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Can NF1 tumors be removed?

If cancerous tumors develop with neurofibromatosis—for example, malignant plexiform neurofibromas, which can develop in the arms, legs, or trunk—they can also be surgically removed. For cancerous tumors, surgery may be combined with other treatments for cancer.
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Does diet affect neurofibromatosis?

Excessive consumption of saturated fatty acids and lipids was also observed in both male and female patients. Conclusions: In this study, NF1 patients consumed an unhealthy diet that was rich in fats and sodium and lacking in fiber, vitamins, and minerals.
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When do freckles appear in NF1?

The freckles usually start to develop around the age of three and become more obvious as the child grows. The unusual areas of freckling have, until very recently, been considered to be characteristic of just NF1. However they are also present in a related condition called Legius syndrome (discussed below).
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How likely is it that they will have another child with NF1?

If you have a mutation in the NF1 gene, there's a 50 percent chance that another child will have the mutation. If you don't have the mutation, there's about a 1 percent chance that another would have NF1, too.
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