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Neurofibromatosis





One of the only treatments for this disorder is removal of the tumors which is done like the removal of any other tumor. New advancements are made everyday toward finding the secret behind this disorder. Taking this fact into consideration, doctors must always be kept up to date concerning new procedures and treatment of this disorder. Even though there have been huge advances in understanding this disorder there is no medical therapy available. The diagnosis of NF1 and NF2 are still largely based on clinical criteria. The diagnosis for NF1 was established by the NIH Consensus Development Conference. They stated specifically that 2 or more of the following must be present: (1) 6 or more Café-au-lait macules (brown spots) are present, (2) 2 or more neurofibromas (tumors), (3) freckling in the axillary or inguinal regions, (4) an optic pathway tumor, (5) 2 or more Lisch nodules, (6) a distinctive, osseous lesion, such as sphenoid wing dysplasia or thinning of the cortex of the long bones, and (7) a first-degree relative (parent, sibling, or offspring) with NF1 by the above criteria. To be diagnosed with NF2 the following must be included: (1) bilateral eight-nerve masses visualized by MR imaging or (2) a first degree relative with NF2 and either inilateral eigth-nerve masses or two of the following: neurofibroma, meninggioma, glioma, schwannoma, or jeuvanile posterior subcapsular lenticular opacity. Neurofibromatosis used to be just another disease that only doctors knew about. One man and his life changed this forever, the Elephant Man. This disease became most well known after the broadway production of his life. The elephant man spent most of his known life as a profecional circus friek. He first appeared in1884 and his real name was Joseph Merrick. Because of his willingness to let people see him, and the play that was created around his life, the amount of reasearch done to find everything possible about this disease was certainly increased. He had numerous tumors an the right side of his body and face. His right hand was 3 to 4 times larger that the average man. His life had certainly spread the knowlage and increased the knowledge we have today of Neurofibromatosis.

Bibliography

Cook, Robert. 1994. The Gene Wars: Science, Politics, and Human Genome. W.W. Norton Co., New York. Howell, Michael and Peter Ford. 1980. The True History of the Elephant Man. Penguin Books, New York. Lewis, Ricki. 1994. Human Genetics, Concepts and Applications. Wm. C. Brown Publishers, Dubuque. Lyon, Jeff. 1995. Altered Fates. W.W. Norton Co., New York Milunsky, Aubrey MD. 1992. Heredity and Your Family’s Health. John Hopkins University Press, Baltimore. Side, Lucy MB. 1997. “Homozygous Inactivation of the NF1 Gene in Neurofibromatosis Type 1 and Myeloid Disorders.” The New England Journal of Medicine. 336, 1713-19.

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