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For a diagnosis of NF-1, at least 2 of the diagnostic criteria should be present3

NF-1 Diagnostic CriteriaPatient 1Patient 2Patient 3Patient 4Patient 5
Six or more café au lait macules >5 mm in greatest diameter in prepubertal individuals and >15 mm in greatest diameter in postpubertal individualsYesYesYesYesYes
Two or more neurofibromas of any type or 1 plexiform neurofibromaYes
Freckling in the axillary or inguinal regionsYesYesYesYesYes
Optic gliomaYesYes
Two or more Lisch nodules (iris hamartomas)YesYesYes
A distinctive osseous lesion such as sphenoid dysplasia or tibial pseudarthrosis
A first-degree relative (parent, sibling, or offspring) with NF-1 as defined by the above criteriaYesYesUnknown (adopted)
MRI findings: focal abnormal signal intensitiesYesYesYesYesYes