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KMID : 0882420160900050455
Korean Journal of Medicine
2016 Volume.90 No. 5 p.455 ~ p.459
Mutation of the NF1 Gene and the Associated Clinical Features in Family Members with Neurofibromatosis Type 1
Á¤¿¬Á¤:Jeong Yeon-Jeong
¼­À¯¸²:Seo Yoo-Rim/ÃÖ±ÔÀº:Choi Kyu-Eun/ÇÑÀ¯¹Î:Han Yu-Min/±èÀº¼÷:Kim Eun-Sook/¹®¼º´ë:Moon Sung-Dae/ÇÑÁ¦È£:Han Je-Ho
Abstract
With an incidence of 1 per 2,500-3,000 individuals, neurofibromatosis type 1 (NF1) is the most common autosomal dominant disorder in humans. NF1 is caused by germline mutations of the NF1 gene, but to date genotype-phenotype analyses have indicated no clear relationship between specific gene mutations and the clinical features of this disease, even among family members with the same mutation. The present study describes a case of two siblings with NF1 with the same genetic mutation but different clinical manifestations. The first patient was a female with iris Lisch nodules, an adrenal incidentaloma, Graves¡¯ disease, and skin manifestations, while the second patient, the first patient¡¯s younger brother, exhibited only skin neurofibromas and freckling. Further study is needed to reveal the molecular processes underlying gene expression and phenotypes. A better understanding of the genetics associated with NF1 will allow clinicians to detect complications earlier and provide better genetic counseling to NF1 families.
KEYWORD
Neurofibromatosis 1, Graves disease, Mutation
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