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Arsenic-induced abnormalities in glucose metabolism: Biochemical basis and potential therapeutic and nutritional interventions
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Summary Definition History and exam Key diagnostic factors family history of NF1 pain, any location neurologic deficits: gross motor delay, general incoordination, school performance problems compromised vision compromised social interactions skin: café au lait spots, axillary freckling, cutaneous juvenile xanthogranulomas, neurofibromas head and neck: unilateral diffuse plexiform neurofibroma divisions of the trigeminal nerve ophthalmologic: visual compromise, optic disk pallor, iris Lisch nodules, choroidal abnormalities central nervous system: signs of hydrocephalus, brain tumors, and/or cerebellar abnormalities peripheral nervous system: palpable mass about neck, brachial plexuses, groin, Hunter canal, or the popliteal fossae skeletal: tibial dysplasia or pseudarthrosis, sphenoid wing dysplasia, pectus excavatum or carinatum, genu valgum or varum, ankle valgus, pes planus gastrointestinal: severe constipation, obstipation, abdominal pain, gastrointestinal bleeding vascular: neurologic problems, abdominal pain (and/or hemorrhage) autism spectrum disorder vascular: hypertension Risk factors parent with type 1 neurofibromatosis (NF1) Diagnostic tests 1st tests to order clinical diagnosis Tests to consider genetic testing to confirm type 1 neurofibromatosis mutation MRI and/or CT scans PET scan biopsy Treatment algorithm pheochromocytoma malignant peripheral nerve sheath tumor or atypical neurofibromatous neoplasm of uncertain biologic potential neurofibromas: noncutaneous cutaneous headache nervous system eye oral skeletal vascular gastrointestinal hematopoietic psychological pregnancy-related Contributors Authors D