Wolkenstein P, Decq P
Service de Dermatologie, Hôpital Henri-Mondor, Créteil.
Neurochirurgie. 1998 Nov;44(4):267-72.
Neurofibromatoses regroup at least two different autosomal dominant disorders, neurofibromatosis type 1 (NF1) and neurofibromatosis type 2 (NF2). NF1 gene and NF2 genes have been respectively localized on chromosomes 17 and 22. NF1 represents 95% of neurofibromatoses cases. Its incidence is 1 for 3,500 newborns, its prevalence 1 for 4,500. NF1 is characterized by its cutaneous manifestations, café au lait spots, lentigines and neurofibromas. NF2 incidence is 1 for 33,000-40,000 newborns. NF2 is characterized by bilateral vestibular schwannomas (former acoustic neurinomas) and other tumors of the central nervous system. The hallmark of schwannomatosis (neurilemmomatosis) is multiple cutaneous or subcutaneous schwannomas without vestibular schwannomas. Different neurofibromatoses are characterized by different prognosis, complications, and genetic counseling. Multidisciplinary centers with trained physicians are ideal structures for management of neurofibromatoses patients.
神经纤维瘤病至少包括两种不同的常染色体显性疾病,即1型神经纤维瘤病(NF1)和2型神经纤维瘤病(NF2)。NF1基因和NF2基因分别定位于17号和22号染色体上。NF1占神经纤维瘤病病例的95%。其发病率为每3500名新生儿中有1例,患病率为每4500人中有1例。NF1的特征在于其皮肤表现,如咖啡牛奶斑、雀斑和神经纤维瘤。NF2的发病率为每33000 - 40000名新生儿中有1例。NF2的特征是双侧前庭神经鞘瘤(原听神经瘤)和中枢神经系统的其他肿瘤。施万细胞瘤病(神经鞘瘤病)的标志是多发皮肤或皮下神经鞘瘤,而无前庭神经鞘瘤。不同类型的神经纤维瘤病具有不同的预后、并发症和遗传咨询特点。配备训练有素的医生的多学科中心是管理神经纤维瘤病患者的理想机构。