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hair color and neurofibromatosis

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hair color and neurofibromatosis

Neurofibromas typically represent proliferation of the connective tissue cells of peripheral nerves and deposition of collagenous extra cellular matrix. Neurofibromas can cause a variety of symptoms from physical lumps in the skin to non visible symptoms such as deafness. Neurofibromas may occur in many locations - wherever connective tissue is present. Skin is a common location for neurofibroma development.

In a minority of cases, neurofibromas in the skin can be associated with increased, and occasionally decreased pigmentation. As a result, skin neurofibromas can sometimes be visible as skin discoloration. If the neurofibromas develop where there is lots of hair, as on the scalp, the hair color may also be noticeably different. Hair hyperpigmentation and poliosis due to neurofibromatosis have each been described.

The presence of neurofibromas can also alter the nature of hair growth in the immediate vicinity. Hair whorls have been reported occurring above a neurofibroma. Hypertrichosis in the vicinity of a neurofibroma may also be found.

The primary treatment for skin located neurofibromas is surgery to remove the cell mass. Any affected skin and hair may also be cut out if the lesion is small.


Hair color and neurofibromatosis references

  • Fetsch JF, Michal M, Miettinen M. Pigmented (melanotic) neurofibroma: a clinicopathologic and immunohistochemical analysis of 19 lesions from 17 patients. Am J Surg Pathol. 2000 Mar;24(3):331-43.
  • Chang T, McGrae JD Jr, Hashimoto K. Ultrastructural study of two patients with both piebaldism and neurofibromatosis 1. Pediatr Dermatol. 1993 Sep;10(3):224-34.
  • Kaufmann D, Wiandt S, Veser J, Krone W. Increased melanogenesis in cultured epidermal melanocytes from patients with neurofibromatosis 1 (NF 1). Hum Genet. 1991 Jun;87(2):144-50.
  • del Rio E, Sanchez Yus E, Simon P, Vazquez Veiga HA. Stimulation of folliculo-sebaceous proliferations by neurofibromas: a report of two cases. J Cutan Pathol. 1998 Apr;25(4):228-32.
  • Tay YK. Neurofibromatosis 1 and piebaldism: a case report. Dermatology. 1998;197(4):401-2.
  • Pivnick EK, Lobe TE, Fitch SJ, Riccardi VM. Hair whorl as an indicator of a mediastinal plexiform neurofibroma. Pediatr Dermatol. 1997 May-Jun;14(3):196-8.
  • Ettl A, Marinkovic M, Koornneef L. Localized hypertrichosis associated with periorbital neurofibroma: clinical findings and differential diagnosis. Ophthalmology. 1996 Jun;103(6):942-8.
  • Martuza RL, Philippe I, Fitzpatrick TB, Zwaan J, Seki Y, Lederman J. Melanin macroglobules as a cellular marker of neurofibromatosis: a quantitative study. J Invest Dermatol. 1985 Oct;85(4):347-50.
  • Takiguchi PS, Ratz JL. Bilateral dermatomal neurofibromatosis. J Am Acad Dermatol. 1984 Mar;10(3):451-3.
  • Henkes J, Ferrandiz C, Peyri J, Fontarnau R. Pilar dysplasia overlying two neurofibromas of the scalp. J Cutan Pathol. 1984 Feb;11(1):65-70.
  • Fitzpatrick TB. Melanin synthesis pathways in the pathogenesis of neurofibromatosis. Adv Neurol. 1981;29:209-11.
  • Heid E, Bekkali A, Lazrak B, Grosshans E. [Neurofibroma, poliosis and vitiligo]. Ann Dermatol Venereol. 1978 Jun-Jul;105(6-7):645-6.
  • Koplon BS, Shapiro L. Poliosis overlying a neurofibroma. Arch Dermatol. 1968 Dec;98(6):631-3.

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