Lisch nodule screening

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Swathi Venkatesan, M.B.B.S.[2]

Lisch Nodule Screening

  • Lisch Nodules are not regularly screened, they’re usually detected when other signs and symptoms of neurofibromatosis appear. [1]
  • However, Lisch nodules are seen in 95% of children with NF1 by age 20
  • They can often be seen with no magnification, especially in adults, who usually have multiple, bilateral nodules
  • A slit-lamp examination, however, is required to distinguish them from nevi on the iris, which are flat or minimally elevated, densely pigmented lesions with blurred margins.

References

  1. Ferner, R. E; Huson, S. M; Thomas, N.; Moss, C.; Willshaw, H.; Evans, D G.; Upadhyaya, M.; Towers, R.; Gleeson, M.; Steiger, C.; Kirby, A. (2006). "Guidelines for the diagnosis and management of individuals with neurofibromatosis 1". Journal of Medical Genetics. 44 (2): 81–88. doi:10.1136/jmg.2006.045906. ISSN 1468-6244.


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