Raygada Margarita, Arthur Diane C, Wayne Alan S, Rennert Owen M, Toretsky Jeffrey A, Stratakis Constantine A
Eunice Kennedy Shriver National Institute of Child Health and Human Development, Section on Developmental Genetics, Bethesda, MD 20892-1831, USA.
Pediatr Blood Cancer. 2010 Jan;54(1):173-5. doi: 10.1002/pbc.22297.
The association of neurofibromatosis 1 (NF1), juvenile xanthogranulomas (JXG), and juvenile myelomonocytic leukemia (JMML) has been previously reported. We describe herein this triad in a Caucasian male infant with a pathogenic mutation in the NF1 gene (neurofibromin). The clinical course from initial presentation to final diagnosis is detailed; the physical features and hematologic characteristics are discussed. The patient underwent bone marrow transplantation and is currently in remission. Children with concurrent cutaneous café-au-lait and JXG lesions should be evaluated and monitored closely for the possible development of JMML.
先前已有关于1型神经纤维瘤病(NF1)、幼年性黄色肉芽肿(JXG)和幼年型粒单核细胞白血病(JMML)关联的报道。我们在此描述一名患有NF1基因(神经纤维瘤蛋白)致病突变的白种男婴的这三联征。详细介绍了从首次出现症状到最终确诊的临床过程;讨论了体格特征和血液学特征。该患者接受了骨髓移植,目前处于缓解期。对于同时有皮肤牛奶咖啡斑和JXG皮损的儿童,应密切评估和监测,以观察JMML的可能发生情况。