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Neurofibromatosis type 1

Neurofibromatosis typus 1 (morbus Recklinghausen) · Neurofibromatóza 1. typu

What it is

A common single-gene disorder (1 in 3000) that grows benign tumours on nerves, with café-au-lait spots, freckling and learning difficulties.

Symptoms & signs

  • Café-au-lait patches
  • freckles in the armpits and groin
  • soft lumps on or under the skin (neurofibromas)
  • small spots on the iris
  • learning difficulties
  • scoliosis

🚩 Get help if…

  • see a doctor soon A lump that grows fast, turns hard or becomes painful
  • see a doctor soon Changes in eyesight in a child
  • see a doctor soon High blood pressure with headaches or sweating
  • see a doctor soon New weakness, numbness or a curving spine

Where it strikes

Medical treatment

  • Clinical diagnosis and genetic testing
  • yearly checks of eyes, blood pressure, spine
  • selumetinib for plexiform neurofibromas
  • surgery for troublesome tumours
  • watch for malignant change

Natural & lifestyle

  • Regular skin and blood-pressure checks
  • school support
  • genetic counselling

Emerging & experimental

  • MEK inhibitors for other tumours
  • gene therapy

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Curcumin — a small study reduced neurofibromas early / small studies
  • Low-inflammation diets — anecdotal anecdotal / traditional
  • Topical vitamin D — a small study on café-au-lait spots early / small studies

ICD codes