Legius syndrome: Difference between revisions
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*It was first described in 2007 and is often mistaken for [[Neurofibromatosis type I]] (NF-1). | *It was first described in 2007 and is often mistaken for [[Neurofibromatosis type I]] (NF-1). | ||
*The syndrome is named after Eric Legius, Professor at the | *The syndrome is named after Eric Legius, Professor at the Katholieke Universiteit Leuven|Catholic University of Leuven. | ||
==Pathophysiology== | ==Pathophysiology== |
Revision as of 15:08, 3 August 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2] Associate Editor(s)-in-Chief: Kalsang Dolma, M.B.B.S.[3]
Synonyms and keywords: Neurofibromatosis, type 1-like syndrome
Overview
Legius syndrome (LS) is an autosomal dominant condition characterized by cafe au lait spots.[1]
Historical Perspective
- It was first described in 2007 and is often mistaken for Neurofibromatosis type I (NF-1).
- The syndrome is named after Eric Legius, Professor at the Katholieke Universiteit Leuven|Catholic University of Leuven.
Pathophysiology
Genetics
It is caused by mutations in the SPRED1 gene.[2][3][4]
Differentiating Legius syndrome from other Diseases
- Features common in neurofibromatosis - Lisch nodules, bone abnormalities, neurofibromas, optic nerve gliomas and malignant peripheral nerve sheath tumors - are absent in this condition.
- The similarity of symptoms stem from the fact that the different genes affected in the two syndromes code for proteins that carry out a similar task in the same reaction pathway.
- A genetic test is often the only way to make sure a person has Legius syndrome and not NF-1.
- Because of this difference, Legius syndrome is often seen as the less severe of the two syndromes.
Diagnosis
Symptoms
Physical Examination
Skin
- Nearly all patients show multiple Café au lait spots.
- Freckles in the armpits and/or groin
- Lipomas
Head
Neurologic
Other
Other Diagnostic Studies
- Genetic testing is necessary to identify the syndrome.
- The test checks for loss of function mutations in the SPRED1 gene.
References
- ↑ "Legius syndrome", Genetics Home Reference, National Institutes of Health
- ↑ "SPRED1", Genetics Home Reference, National Institutes of Health
- ↑ "Legius Syndrome Often Mistaken for Neurofibromatosis Type 1", by Allison Gandley, November 18, 2009, Medscape
- ↑ "Legius Syndrome (SPRED1) Sequencing & (NF1) Sequencing Exon 22 (Exon 17)", May 2010, ARUP Laboratories
- ↑ 5.0 5.1 [1], Pagon RA, Bird TD, Dolan CR, et al.