$Unique_ID{BRK00417} $Pretitle{} $Title{Von Recklinghausen's Disease Diagnosis} $Subject{neurofibromatosis Skin Subcutaneous Tissue Von Recklinghausen's Disease skin lesions nerve fiber tumors inherited genetic disorders NF abnormal gene Dominant mutation lesion nerves tumor} $Volume{L-2, L-20} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Von Recklinghausen's Disease Diagnosis ------------------------------------------------------------------------------ QUESTION: Although we have no history of an illness called Von Recklinghausen's disease in our family, it has now appeared for the first time. We have read that it is an inherited condition, and can't understand how this occurred. Could the diagnosis be wrong? Will you please help us? ------------------------------------------------------------------------------ ANSWER: Your information is essentially correct. Von Recklinghausen's Disease (or neurofibromatosis) is named after the doctor who first described it in 1882. Although there are many symptoms, the most common is the development of skin lesions composed of nerve and fiber tissue, which form into tumors. The disease is mild in most cases, and patients may live a normal life. It is an inherited condition and is one of the most common of the diseases classified as genetic disorders. About 1 baby in 3,000 born in the United States develops neurofibromatosis (NF) and about 100,000 Americans are affected by it. It is caused by a single abnormal gene, which produces the disease whenever it is present. It is therefore called a dominant gene, since it over comes the influence of the normal gene which is also present as one of the pair of genes that occupy the same place in the genetic makeup. However, this abnormal gene may have been newly formed by a process known as mutation, rather than inherited. About 50 percent of NF cases seem to occur in this fashion, and this is the probable explanation for the circumstances in your family. The disease produced by a newly mutated gene is in all ways identical to that which occurs when the gene is inherited. It will also be passed on in the same way, and each child of a parent with NF has a 50-50 chance of inheriting the disease, and developing at least some of the characteristics of the disease. While there are no methods to prevent the disease, and no prenatal tests available to discover its presence in the unborn, there are procedures and techniques to treat its effects. You can obtain a wealth of information about NF from The National Neurofibromatosis Foundation, Inc. 141 Fifth Avenue, Suite 7S, New York, NY 10010, telephone (212) 460-8980. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.