viernes, 9 de febrero de 2018

Cutaneous neurofibromas in Neurofibromatosis type I: a quantitative natural history study | Orphanet Journal of Rare Diseases | Full Text

Cutaneous neurofibromas in Neurofibromatosis type I: a quantitative natural history study | Orphanet Journal of Rare Diseases | Full Text

Orphanet Journal of Rare Diseases

Cutaneous neurofibromas in Neurofibromatosis type I: a quantitative natural history study

Orphanet Journal of Rare Diseases201813:31
Received: 18 August 2017
Accepted: 30 January 2018
Published: 7 February 2018

Abstract

Background

Neurofibromatosis type 1 (NF1) is a genetic disorder characterized by a predisposition to develop multiple benign tumors. A major feature of NF1 is the development of localized cutaneous neurofibromas. Cutaneous neurofibromas manifest in > 99% of adults with NF1 and are responsible for major negative effects on quality of life. Previous reports have correlated increased burden of cutaneous neurofibromas with age and pregnancy, but longitudinal data are not available to establish a quantitative natural history of these lesions. The purpose of this study is to conduct a prospective natural history study of 22 adults with NF1 over an 8-year period to quantify cutaneous neurofibroma number and size.

Results

The average monthly increase in volume for cutaneous neurofibromas was 0.37 mm3 in the back region (95% CI (0.23, 0.51), p < 0.0001), 0.28 mm3 in the abdominal region (95% CI (0.16, 0.41), p < 0.0001), and 0.21 mm3 in the arm/leg region (95% CI (0.08, 0.34), p = 0.0022). The number of cutaneous neurofibromas significantly increased in the back (slope = 0.032, p = 0.011) and abdominal (slope = 0.018, p = 0.026) regions, while the leg/arm regions retained a positive trend (slope = 0.004, p = 0.055).

Conclusions

The number and volume of cutaneous neurofibromas significantly increased over an 8-year timespan; however, the rate of increase is variable by individual and body region. These findings may provide insight into cutaneous neurofibroma development and benefit researchers considering clinical trials targeting cutaneous neurofibromas.

Keywords

Neurofibromatosis type 1Cutaneous neurofibromasNatural history studyRandom effect modeling

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