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Phakomatosis information


Phakomatoses
Other namesNeurocutaneous syndromes
SpecialtyMedicine, Neurology, Neurosurgery, Medical Genetics, Dermatology, Psychology, Psychiatry and more
SymptomsDermal, ocular and CNS benign and malignant tumors. Various additional potential complications.
ComplicationsNumerous potential complications including cosmetic, intellectual disability, epilepsy, organ failure and more.
Usual onsetChildhood (most commonly)
DurationLifelong
CausesGenetic causes
TreatmentHighly variable. Many require lifelong surveillance and various treatments depending on the particular syndrome and presentation.

Phakomatoses, also known as neurocutaneous syndromes, are a group of multisystemic diseases that most prominently affect structures primarily derived from the ectoderm such as the central nervous system, skin and eyes. The majority of phakomatoses are single-gene disorders that may be inherited in an autosomal dominant, autosomal recessive or X-linked pattern. Presentations may vary dramatically between patients with the same particular syndrome due to mosaicism, variable expressivity, and penetrance.[1]

Many phakomatoses are caused by mutations which alter functioning of the RAS–mitogen-activated protein kinase (MAPK) pathway that regulates cellular growth, differentiation, proliferation and death.[2] This results in a tendency for individuals with these mutations to develop various types of benign or malignant tumors depending on the particular mutation. The presence of these tumors may result in functional and/or cosmetic problems depending on their type and location.

  1. ^ Gürsoy, Semra; Erçal, Derya (2018-10-10). "Genetic Evaluation of Common Neurocutaneous Syndromes". Pediatric Neurology. 89: 3–10. doi:10.1016/j.pediatrneurol.2018.08.006. ISSN 1873-5150. PMID 30424961. S2CID 53302650.
  2. ^ Ruggieri, Martino; Praticò, Andrea D. (2015-12-17). "Mosaic Neurocutaneous Disorders and Their Causes". Seminars in Pediatric Neurology. 22 (4): 207–233. doi:10.1016/j.spen.2015.11.001. ISSN 1558-0776. PMID 26706010.

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