Can you have NF1 without café-au-lait spots?

The most common symptom of NF1 is the appearance of painless, coffee-coloured patches on the skin, called café au lait spots. However, not everyone with café au lait spots has NF1.

Can you have NF1 with no symptoms?

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.

Can you have NF1 without 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.

Can you have multiple 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).

Can you have 6 café-au-lait spots without neurofibromatosis?

Indeed, anyone can have 1 or 2 cafe-au-lait spots without having neurofibromatosis. The only significance to the cafe-au-lait spot is that it suggests the possibility that a person might have NF1. People with NF1 usually have many cafe-au-lait spots, sometimes hundreds, and almost always more than 6.

Ask Kate! Do my son's café au lait spots mean he has NF1?

How do I verify NF1?

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.

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).

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.

At what age do neurofibromas 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.

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.

What follow up tests are needed for NF1?

Each examination should include blood pressure measurement, assessment of the skin for typical lesions (including early or growing neurofibromas), visual acuity check, evaluation of the eyes for evidence of proptosis or strabismus, and examination of the spine and extremities for any abnormalities.

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.

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.

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.

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.

At what age do café-au-lait spots appear?

I find that six or more café-au-lait spots are usually visible by around 2 years of age, and new spots do not usually appear after that time, though spots tend to tan upon sun exposure, so may become more distinct with time.

What is Mosaic NF1?

Background: Neurofibromatosis type 1 (NF1) is a neurocutaneous disorder caused by loss-of-function mutation in the NF1 gene. Segmental or mosaic NF1 (MNF) is an uncommon presentation of the NF1 result of postzygotic mutations that present with subtle localised clinical findings.

Does neurofibromatosis affect speech?

Neurofibromatosis 1 (NF1) is a neurocutaneous-skeletal disorder often accompanied with varying degrees of cognitive and motor problems that potentially affect speech and language.

Can you see Lisch nodules?

Lisch nodules are the most common clinical feature of neurofibromatosis 1 in adults. They can often be seen with no magnification, especially in adults, who usually have multiple, bilateral nodules.

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.

Do all NF1 patients get tumors?

An estimated 3% to 5% of people who have NF1 develop cancerous tumors. These usually arise from neurofibromas under the skin or from plexiform neurofibromas.

What percentage of NF1 cases are mild?

Although two-thirds of NF-1 cases are mild, many parents come in fearing the worst. “Sometimes we see an affected parent and multiple children,” says Jordan, who usually treats pediatric patients and transfers them to Blakeley when they reach adulthood.

What percentage of NF1 patients get neurofibromas?

Most are not a medical issue, but can cause pain and itching. Plexiform neurofibromas are less common, occurring in about 25% of NF patients. They can grow large, and can cause problems such as pressure on nerves and organs. These types of neurofibromas can become malignant in a minority of cases (10%).

Can you be a carrier of NF1 and not have it?

NF does not skip generations which means you cannot be a carrier if you do not have it, even if one or more parents have NF. NF1 and NF2 are therefore said to have “complete penetrance”.