Can you have NF1 and not know it?

What Are the Signs & Symptoms of Neurofibromatosis Type 1? Most newborns with neurofibromatosis type 1 have no symptoms, but some have curved lower leg bones. By their first birthday, most children with NF1 have several skin spots, called café-au-lait ("coffee with milk") spots because of their color.
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Can neurofibromatosis be asymptomatic?

Although most plexiform neurofibromas are asymptomatic, they may cause pain, grow to cause disfigurement, produce overgrowth or erosion of adjacent tissue, or impinge on the function of nerves and other structures.
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How do I know if I have NF1?

Signs and symptoms include: Flat, light brown spots on the skin (cafe au lait spots). These harmless spots are common in many people. Having more than six cafe au lait spots suggests NF1 .
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Can NF1 be mild?

The symptoms of neurofibromatosis type 1 (NF1) are often mild and cause no serious health problems. But some people will have severe symptoms. The symptoms of NF1 can affect many different areas of the body, but it's unlikely someone will develop all of them.
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Can NF1 be dormant?

The clear challenge for clinicians and scientists alike with regard to optic pathway tumors is to determine which tumors in children with NF1 will remain dormant, and which are likely to progress and require aggressive treatment.
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10 Things Everyone Should Know About Their NF1



Can neurofibromatosis show up later in life?

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.
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Can you have café-au-lait spots without neurofibromatosis?

Can you have café-au-lait spots without having neurofibromatosis? Yes. 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).
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What can be mistaken for neurofibromatosis?

Legius syndrome also is called a neurofibromatosis 1-like syndrome because its symptoms are similar to NF1. Individuals with Legius syndrome have skin problems including brown birthmarks, called cafe-au-lait spots, and freckling, as well as mild learning problems and a larger head.
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Do café-au-lait spots always mean neurofibromatosis?

It is not unusual for a healthy child to have a few café-au-lait spots, and it is not recommended to provide an evaluation for NF1 if the spots are fewer than six in number. These spots also should be clear and distinct – finding very faint or small skin spots does not count towards the six spots needed for diagnosis.
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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 can you test and confirm NF1?

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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When should I worry about café-au-lait spots?

Café au lait spots are usually harmless and don't cause any uncomfortable symptoms or complications. But you shouldn't ignore these spots, especially if you have more than a handful on your body. This could indicate an underlying genetic disorder.
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Are you born with NF1?

Signs of NF1 may be present at birth and almost always by the time a child is 10. Most people with NF1 have only mild signs and symptoms that need little or no treatment. But some can be more severe.
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Does everyone with NF1 get neurofibromas?

Most people with NF1 will develop regular neurofibromas, but only a third of all people with NF1 will have a plexiform neurofibroma. You may want to ask your doctor if any of your tumors are a plexiform, so you know the difference.
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What does a neurofibroma feel like?

Plexiforms are neurofibromas that spread around large nerves as they grow, causing the nerve to become thick and misshapen. They feel like knots or cords under the skin. They can be large, painful, and disfiguring.
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How long can you live with NF?

If there are no complications, the life expectancy of people with NF is almost normal. With the right education, people with NF can live a normal life. Although mental impairment is generally mild, NF1 is a known cause of attention deficit hyperactivity disorder. Learning disabilities are a common problem.
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How do you get rid of NF1 bumps?

There is no known treatment or cure for neurofibromatosis or schwannomatosis. Medication can be prescribed to help with pain. In some cases, growths may be removed surgically or reduced with radiation therapy.
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How do you rule out NF1?

Your child's doctor will look for signs of NF1 in your child's skin, eyes, bones or brain. The second method is genetic testing, also called a molecular or DNA diagnosis. Your child will need to give a blood sample. A lab will check the sample for a change (mutation) in the NF1 gene.
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How fast do neurofibromas grow?

The median rate of growth of the individual tumours expressed as a percentage of the volume measured on the first exam was 2.8% per year, with a range of −35.9% to 3667% per year.
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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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How many café-au-lait spots are concerning?

Cafe au lait spots usually appear singly. More spots can occur in children with a genetic condition called neurofibromatosis or other conditions. If your child has six or more cafe au lait spots, ask your doctor whether your child needs a medical examination.
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How common are café-au-lait marks?

Approximately 10% of the general population has one or two café-au-lait spots. However, having more than 5 café-au-lait spots (referred to as multiple CALS) is rare.
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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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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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What do NF1 tumors look like?

Neurofibromatosis type 1 (NF1) is a hereditary condition commonly associated with multiple café-au-lait spots on the skin. Café-au-lait spots are light brown in color, like the color of “coffee with milk.” About 10% to 25% of the general population has café-au-lait spots; NF1 is suspected when a person has 6 or more.
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