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. 2019 Jun;40(6):E32. doi: 10.3174/ajnr.A6062

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

NF-1 Diagnostic Criteria Patient 1 Patient 2 Patient 3 Patient 4 Patient 5
Six or more café au lait macules >5 mm in greatest diameter in prepubertal individuals and >15 mm in greatest diameter in postpubertal individuals Yes Yes Yes Yes Yes
Two or more neurofibromas of any type or 1 plexiform neurofibroma Yes
Freckling in the axillary or inguinal regions Yes Yes Yes Yes Yes
Optic glioma Yes Yes
Two or more Lisch nodules (iris hamartomas) Yes Yes Yes
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 criteria Yes Yes Unknown (adopted)
MRI findings: focal abnormal signal intensities Yes Yes Yes Yes Yes