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Neurocutaneous Disorders

Neurofibromatosis
»	What are the two main forms of neurofibromatosis?
»	Outline the diagnostic criteria for NF-1.
»	Where is the gene for NF-1 located? What protein does it encode?
»	What is the earliest skin sign of NF-1?
»	What is Crowe’s sign? When does it develop?
»	When do peripheral neurofibromas appear in NF-1?
»	What is a plexiform neurofibroma?
»	What are Lisch nodules?
»	What is the most common central nervous system (CNS) tumor occurring in NF-1?
»	How common is intellectual impairment in NF-1?
»	What are the most common skeletal abnormalities in NF-1?
»	How frequently should patients with NF-1 be assessed? What should this assessment include?
»	What are the diagnostic criteria for NF-2?
»	Where is the gene for NF-2? What is the gene product?
»	What are the most common presenting symptoms of NF-2?
»	What are the skin signs of NF-2?
»	What is the ocular sign of NF-2?

How frequently should patients with NF-1 be assessed? What should this assessment include?

An annual assessment is usually sufficient. The clinical examination should include a blood pressure measurement (hypertension occurs in 6% due to renovascular stenosis or pheochromocytoma) and a full neurologic examination. Children also require a regular eye examination; surveillance for kyphoscoliosis, precocious puberty, and hypogonadism; and regular developmental assessments. Investigations should be guided by symptoms or physical signs.

Drappier J-C, Khosrotehrani K, Zeller J, et al: Medical management of neurofibromatosis 1: a cross sectional study of 383 patients, J Am Acad Dermatol 49: 440–444, 2003.