
The extent and severity of manifestations of NF vary greatly from person to person and varies within the same family.
Although isolated café-au-lait spots can be found in many people without NF, individuals with more than 5 of these have a good chance of also having NF1, particularly if they appear on the skin within the first 5 years of life. More than 5 café-au-lait spots are found in 1.8% of newborns, 25-40% of children and 14% of adults with NF1. Freckling under the armpits is a clear sign of NF1.
After puberty, Lisch nodules are present in 97-100% of patients with NF1. Clinically, they do not cause any problems but help to confirm diagnosis.
There are basically 4 types of neurofibromas found in NF1:
Cutaneous: superficial, soft button-like tumours with no malignant potential
Subcutaneous...



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