Bilateral segmental neurofibromatosis: a case report and review

A 65‐year‐old white woman presented with complaints of ‘‘moles’' on the left side of her trunk present for an undetermined period of time. She denied associated pain and pruritus. Her past medical history was significant for hypothyroidism and depression, for which she was taking levothyroxine...

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Veröffentlicht in:International journal of dermatology 2001-06, Vol.40 (6), p.409-411
Hauptverfasser: Krishnan, Ravi S., Angel, Tiffany A., Orengo, Ida F., Hsu, Sylvia
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container_end_page 411
container_issue 6
container_start_page 409
container_title International journal of dermatology
container_volume 40
creator Krishnan, Ravi S.
Angel, Tiffany A.
Orengo, Ida F.
Hsu, Sylvia
description A 65‐year‐old white woman presented with complaints of ‘‘moles’' on the left side of her trunk present for an undetermined period of time. She denied associated pain and pruritus. Her past medical history was significant for hypothyroidism and depression, for which she was taking levothyroxine and venlafaxine, respectively. In addition, she was on hormone replacement therapy. Reportedly, no other family members were affected by similar skin lesions. Physical examination revealed soft, dome‐shaped, skin‐colored papules grouped in a T11–12 dermatomal distribution on her trunk bilaterally. The lesions were more numerous and densely grouped on the right side of her trunk (Figs 1 and 2). No axillary freckling or café‐au‐lait macules were noted. No Lisch nodules were observed upon ophthalmologic examination. 1 Dermatomal distribution of neurofibromas on the right flank 2 Less obvious dermatomal distribution of neurofibromas on the left abdomen Histologic examination of skin biopsies taken from lesions on both sides of her abdomen in the affected area revealed a proliferation of fusiform cells in a loose fibrous stroma, consistent with neurofibroma.
doi_str_mv 10.1046/j.1365-4362.2001.01246-4.x
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No Lisch nodules were observed upon ophthalmologic examination. 1 Dermatomal distribution of neurofibromas on the right flank 2 Less obvious dermatomal distribution of neurofibromas on the left abdomen Histologic examination of skin biopsies taken from lesions on both sides of her abdomen in the affected area revealed a proliferation of fusiform cells in a loose fibrous stroma, consistent with neurofibroma.</description><identifier>ISSN: 0011-9059</identifier><identifier>EISSN: 1365-4632</identifier><identifier>DOI: 10.1046/j.1365-4362.2001.01246-4.x</identifier><identifier>PMID: 11589748</identifier><identifier>CODEN: IJDEBB</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Aged ; Biological and medical sciences ; Dermatology ; Female ; Humans ; Medical sciences ; Neurofibromatosis 1 - diagnosis ; Neurofibromatosis 1 - pathology ; Neurofibromatosis 1 - surgery ; Prognosis ; Risk Assessment ; Skin - pathology ; Skin Neoplasms - diagnosis ; Skin Neoplasms - pathology ; Skin Neoplasms - surgery ; Tumors of the skin and soft tissue. 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She denied associated pain and pruritus. Her past medical history was significant for hypothyroidism and depression, for which she was taking levothyroxine and venlafaxine, respectively. In addition, she was on hormone replacement therapy. Reportedly, no other family members were affected by similar skin lesions. Physical examination revealed soft, dome‐shaped, skin‐colored papules grouped in a T11–12 dermatomal distribution on her trunk bilaterally. The lesions were more numerous and densely grouped on the right side of her trunk (Figs 1 and 2). No axillary freckling or café‐au‐lait macules were noted. No Lisch nodules were observed upon ophthalmologic examination. 1 Dermatomal distribution of neurofibromas on the right flank 2 Less obvious dermatomal distribution of neurofibromas on the left abdomen Histologic examination of skin biopsies taken from lesions on both sides of her abdomen in the affected area revealed a proliferation of fusiform cells in a loose fibrous stroma, consistent with neurofibroma.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Dermatology</subject><subject>Female</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Neurofibromatosis 1 - diagnosis</subject><subject>Neurofibromatosis 1 - pathology</subject><subject>Neurofibromatosis 1 - surgery</subject><subject>Prognosis</subject><subject>Risk Assessment</subject><subject>Skin - pathology</subject><subject>Skin Neoplasms - diagnosis</subject><subject>Skin Neoplasms - pathology</subject><subject>Skin Neoplasms - surgery</subject><subject>Tumors of the skin and soft tissue. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Aged
Biological and medical sciences
Dermatology
Female
Humans
Medical sciences
Neurofibromatosis 1 - diagnosis
Neurofibromatosis 1 - pathology
Neurofibromatosis 1 - surgery
Prognosis
Risk Assessment
Skin - pathology
Skin Neoplasms - diagnosis
Skin Neoplasms - pathology
Skin Neoplasms - surgery
Tumors of the skin and soft tissue. Premalignant lesions
title Bilateral segmental neurofibromatosis: a case report and review
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