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		<title>Children with neurofibromatosis! Neurofibromatosis and drug treatment it? Some hospitals online do not believe I have a little bit!</title>
		<link>http://symptomadvice.com/children-with-neurofibromatosis-neurofibromatosis-and-drug-treatment-it-some-hospitals-online-do-not-believe-i-have-a-little-bit/</link>
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		<pubDate>Wed, 01 Dec 2010 17:34:18 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[bone symptoms]]></category>
		<category><![CDATA[coffee spot]]></category>
		<category><![CDATA[fibrosis]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/children-with-neurofibromatosis-neurofibromatosis-and-drug-treatment-it-some-hospitals-online-do-not-believe-i-have-a-little-bit/</guid>
		<description><![CDATA[2010 ? 08 ? 15 ? Xianxie to &#116;&#101;&#108;&#108; the next best &#097;&#110;&#115;&#119;&#101;&#114;&#115; no other mystery 1: fibrosis, neurofibromatosis, &#097;&#108;&#115;&#111; &#107;&#110;&#111;&#119;&#110; &#097;&#115; molluscum, rubber &#108;&#105;&#107;&#101; disease neuroma, is &#097; hereditary systemic neuroectodermal strange disease, is autosomal dominant, &#098;&#117;&#116; penetrance vary, about 25% ~ 50% of the patients &#104;&#097;&#100; positive history of relatives. The properties of [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2010/12/1291224858-47.jpg" style="clear:both;clear:both;margin:0 15px 15px 0;width:500px" />
<p>2010 ? 08 ? 15 ?</p>
<p>Xianxie to &#116;&#101;&#108;&#108; the next</p>
<p>best &#097;&#110;&#115;&#119;&#101;&#114;&#115; no other mystery 1:</p>
<p>fibrosis, neurofibromatosis, &#097;&#108;&#115;&#111; &#107;&#110;&#111;&#119;&#110; &#097;&#115; molluscum, rubber &#108;&#105;&#107;&#101; disease neuroma, is &#097; hereditary systemic neuroectodermal strange disease, is autosomal dominant, &#098;&#117;&#116; penetrance vary, about 25% ~ 50% of the patients &#104;&#097;&#100; positive history of relatives. The properties of the pigmented skin disease, &#097;&#110;&#100; neurofibromatosis.</p>
<p>60% of the patients mental decline, the rest &#119;&#101;&#114;&#101; normal. Multiple neurofibromas &#105;&#110; the male patients, mostly &#105;&#110; puberty onset. &#097;&#108;&#115;&#111; &#107;&#110;&#111;&#119;&#110; &#097;&#115; skin color, skin pigment spots coffee spots, &#111;&#102;&#116;&#101;&#110; &#097;&#116; birth that is, &#097; small &#097;&#109;&#111;&#117;&#110;&#116; appeared &#110;&#111;&#116; long after birth, &#111;&#102;&#116;&#101;&#110; multiple, prevalent &#105;&#110; the face &#097;&#110;&#100; trunk, irregularly scattered, light brown to &#100;&#097;&#114;&#107; brown, size &#097;&#110;&#100; shape &#109;&#097;&#121; vary &#102;&#114;&#111;&#109; diagnosis value of neurofibromatosis usually issued after the coffee spot, occurs &#105;&#110; adolescence, the primary fat &#105;&#110; the trunk, &#102;&#114;&#111;&#109; soybeans to Putao &#111;&#114; pigeon size, touch the soft skin of the hemispherical shape of &#097; convex &#111;&#114; &#097; pedicle tumor, the tumor can fingertips pressed &#105;&#110;&#116;&#111; the top of the skin, &#119;&#104;&#101;&#110; the pressure is removed, restitution. The patients, about 5% to 10% of dental damage, &#105;&#110; the palate, buccal mucosa, tongue &#097;&#110;&#100; lips appeared papillomas &#111;&#114; unilateral macroglossia. 30% ~ 46% of patients &#104;&#097;&#100; neurological symptoms, can &#099;&#097;&#117;&#115;&#101; epilepsy &#097;&#110;&#100; other diseases.</p>
<p>neurofibromatosis is &#097; rare genetic disease is characterized &#098;&#121; skin pigmentation spots skin color &#097;&#110;&#100; neurofibromatosis. About 25-50% of patients &#104;&#097;&#100; positive history of relatives. Patients can &#110;&#111;&#116; long after birth the skin pigmentation spots appears, &#115;&#104;&#111;&#119;&#105;&#110;&#103; the milk brown, gradually increased &#111;&#114; expanded. Sometimes the lesions &#097;&#112;&#112;&#101;&#097;&#114; late &#105;&#110; the disease development period began, physiological &#099;&#104;&#097;&#110;&#103;&#101;&#115;, &#115;&#117;&#099;&#104; &#097;&#115; development, pregnancy, menopause, infectious disease, mental stimulation &#097;&#110;&#100; so can aggravate the disease. &#115;&#108;&#111;&#119; &#099;&#111;&#117;&#114;&#115;&#101; of the disease, &#098;&#117;&#116; malignant transformation &#109;&#097;&#121; occur 20-50 years of age. The disease is &#115;&#101;&#101;&#110; &#097;&#108;&#108; over the world, no gender, age &#097;&#110;&#100; ethnic differences. Generally &#100;&#111; &#110;&#111;&#116; need therapy, &#115;&#101;&#114;&#105;&#111;&#117;&#115;&#108;&#121; affect the beauty &#097;&#110;&#100; functionality &#117;&#110;&#108;&#101;&#115;&#115; &#116;&#104;&#101;&#114;&#101; is malignancy &#111;&#114; &#119;&#104;&#101;&#110;, before considering surgery.</p>
<p>[symptoms of physical disease]</p>
<p>1. Leather skin color pigment spots: &#097;&#108;&#109;&#111;&#115;&#116; &#097;&#108;&#108; patients &#104;&#097;&#118;&#101; skin the color of skin pigment spots, pale brown to &#100;&#097;&#114;&#107; brown, &#111;&#114; brown (milk coffee spot), the number of size ranges, axillary freckle-like pigmentation can;</p>
<p>2. Multiple skin nodules: &#097; few to &#115;&#101;&#118;&#101;&#114;&#097;&#108; dozens &#111;&#114; even hundreds, the first distribution &#105;&#110; the trunk, &#111;&#102;&#116;&#101;&#110; convex hemispherical &#111;&#114; conical skin &#119;&#097;&#115; &#108;&#105;&#107;&#101;, Princess, &#111;&#114; purple color, size range, &#115;&#117;&#099;&#104; &#097;&#115; hernia-like touch of the soft;</p>
<p>3. Estuary damage control: performance of papilloma &#111;&#114; unilateral macroglossia ;</p>
<p>4. visceral injury: the brain tumors, vascular malformations, &#111;&#114; skeletal deformities, can &#099;&#097;&#117;&#115;&#101; mental deterioration, seizures &#097;&#110;&#100; other neurological symptoms. Tumor invasion of bone, can &#099;&#097;&#117;&#115;&#101; scoliosis, grams of channel involvement can &#099;&#097;&#117;&#115;&#101; gastrointestinal bleeding &#111;&#114; obstruction, &#109;&#097;&#121; &#097;&#108;&#115;&#111; &#099;&#097;&#117;&#115;&#101; endocrine strange</p>
<p>[diagnosis is based on]</p>
<p>1. Milk coffee spot &#097;&#099;&#114;&#111;&#115;&#115; 6 (each with &#097; diameter&gt; 1.5cm) &#097;&#110;&#100; / &#111;&#114; axillary freckles &#097;&#112;&#112;&#101;&#097;&#114;;</p>
<p>2. multiple skin nodules, soft texture, &#115;&#117;&#099;&#104; &#097;&#115; hernia-like;</p>
<p>3. Oral damage &#097;&#110;&#100; damage to internal organs;</p>
<p>4. pathology: tumor boundaries clear, &#098;&#117;&#116; no capsule, the nerve sheath cells &#097;&#110;&#100; nerve membrane fibers, pudding staining.</p>
<p>[treatment principles]</p>
<p>1. Symptomatic treatment: &#115;&#117;&#099;&#104; &#097;&#115; epilepsy, analgesics;</p>
<p>2. Surgical treatment: lesions severely hampered for beauty, &#108;&#105;&#116;&#116;&#108;&#101; impact on function &#111;&#114; cancer, &#111;&#114; malignant pain &#097;&#110;&#100; doubt &#097;&#110;&#100; so on. Need to &#098;&#101; held neurosurgery, the removal of pain disease.</p>
<p>[Clinical evaluation]</p>
<p>1. Cure: surgery, the tumor &#119;&#097;&#115; excised, beauty on the right about, &#111;&#114; pressure &#111;&#114; epilepsy, organ function dissipated;</p>
<p>2. improvement: After surgery, beauty on the &#112;&#097;&#114;&#116; of the right about, the partial restoration of organ function &#117;&#110;&#100;&#101;&#114; pressure, seizures, symptoms improved significantly.</p>
<p>3. Unhealed: surgery &#097;&#110;&#100; antiepileptic treatment &#119;&#101;&#114;&#101; ineffective.</p>
<p>the disease is genetic disease, 50% of their children &#109;&#097;&#121; &#098;&#101; the disease, it &#115;&#104;&#111;&#117;&#108;&#100; consider sterilization. &#097;&#116; the same time &#115;&#104;&#111;&#117;&#108;&#100; focus on self-monitoring. &#115;&#117;&#099;&#104; &#097;&#115; the invention of mass short-term increases rapidly, &#116;&#104;&#101;&#114;&#101; &#109;&#097;&#121; &#098;&#101; malignant. Real-time conditions to &#103;&#111; to hospital for treatment. &#119;&#104;&#101;&#110; severe complications &#115;&#117;&#099;&#104; &#097;&#115; intracranial tumor, gastrointestinal bleeding &#097;&#110;&#100; intestinal obstruction caused &#098;&#121; involvement &#111;&#114; retroperitoneal neurofibroma causing great stress &#097;&#110;&#100; other organs are needed surgery, &#097;&#110;&#100; doctors must &#098;&#101; mutual.</p>
<p>intelligence &#105;&#110; children with neurofibromatosis affect &#121;&#111;&#117;?</p>
<p>neurofibromatosis is the nervous system of multiple tumors, skin &#097;&#110;&#100; other organs of coffee milk spots characterized &#098;&#121; neural tumors skin syndrome.</p>
<p>Neurofibromatosis is &#097; chronic disease held, followed &#098;&#121; aging symptoms gradually increased. Invention of the skin &#097;&#116; birth can &#104;&#097;&#118;&#101; &#115;&#111;&#109;&#101; bumps on the skin surface is &#110;&#111;&#116;, coffee milk, color, circumscribed, pigmented spots of varying sizes. More common on the trunk &#111;&#114; limbs, rarely &#115;&#101;&#101;&#110; &#105;&#110; the face. Followed &#098;&#121; age, coffee, milk spots gradually increased. Nerve fibers &#097;&#108;&#115;&#111; appeared &#105;&#110; the skin tumor, of varying sizes, ranging &#102;&#114;&#111;&#109; the number of how many, &#111;&#102;&#116;&#101;&#110; &#110;&#111;&#116; accompanied &#098;&#121; pain, more common on the trunk, limbs &#097;&#110;&#100; scalp. Since tumor growth &#105;&#110; &#100;&#105;&#102;&#102;&#101;&#114;&#101;&#110;&#116; &#112;&#097;&#114;&#116;&#115; of the nerve fibers, the symptoms can &#098;&#101; diverse, &#111;&#102;&#116;&#101;&#110; solitary &#105;&#110; pediatric intracranial tumors. &#112;&#097;&#114;&#116; of the sick child can &#098;&#101; expressed &#097;&#115; seizures, mental retardation, language &#097;&#110;&#100; motor retardation. &#097;&#108;&#115;&#111; &#109;&#097;&#121; &#104;&#097;&#118;&#101; other system involvement.</p>
<p>Benbingfasheng early embryonic development &#109;&#097;&#121; &#098;&#101; related to &#099;&#104;&#097;&#110;&#103;&#101;&#115; &#097;&#112;&#112;&#101;&#097;&#114; strange, &#110;&#111;&#116; easy to prevent. So &#119;&#104;&#101;&#110; children &#104;&#097;&#118;&#101; more skin, coffee milk spots, specific physical examination &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; held to the hospital &#097;&#110;&#100; neurological examination, &#119;&#104;&#101;&#110; required to &#100;&#111; X-ray examination, while focusing on whether the other system involvement.</p>
<p>primary treatment of &#116;&#104;&#105;&#115; disease is held for the treatment of symptoms. &#119;&#104;&#101;&#110; the central nervous system &#097;&#110;&#100; peripheral nervous system tumors &#104;&#097;&#118;&#101; symptoms, surgical resection.</p>
<p>what neurofibromatosis clinical manifestations, &#097;&#110;&#100; &#105;&#116;&#115; operation principle is &#119;&#104;&#097;&#116;?</p>
<p>nerve fibers &#102;&#114;&#111;&#109; nerve sheath tumor cells &#097;&#110;&#100; fibroblasts constitute the primary components of the benign tumor, sub-single- hair &#097;&#110;&#100; multiple two. Maxillofacial facial nerve fibers &#102;&#114;&#111;&#109; the facial nerve &#097;&#110;&#100; the tumor &#111;&#102;&#116;&#101;&#110; trigeminal nerve, slow-growing, common &#105;&#110; young people. Yan facial neurofibroma surface skin brown spot sizes, &#111;&#114; gray color &#119;&#097;&#115; xuan dot-like &#111;&#114; flaky lesions. Palpation, the skin &#116;&#104;&#101;&#114;&#101; are multiple tumor nodules, hard, nerve distribution along the skin, &#115;&#104;&#111;&#119;&#105;&#110;&#103; the number of beads &#111;&#114; plexiform. &#102;&#114;&#111;&#109; sensory nerve tumor, &#109;&#097;&#121; &#104;&#097;&#118;&#101; significant tenderness. Tumor &#105;&#110; the nerve distribution &#105;&#110; the region, sometimes abnormal proliferation of cartilage, skin loose &#111;&#114; folded droop, cover the eye, &#097;&#110;&#100; facial deformity occurring functional stagnation. The tumor is soft, rich intratumoral blood supply, generally &#108;&#101;&#115;&#115; &#116;&#104;&#097;&#110; her inability to compression. Invading &#105;&#110;&#116;&#111; adjacent bone, can &#099;&#097;&#117;&#115;&#101; deformities. Neurofibromatosis first face &#109;&#097;&#121; &#098;&#101; associated with the nature of the occipital bone defect first. Neurofibromatosis &#097; genetic tendency for autosomal dominant inheritance, &#105;&#116;&#115; diagnosis, &#097;&#115; long &#097;&#115; the brown &#111;&#114; brown skin patches more &#116;&#104;&#097;&#110; 1.5cm, 5 to 6 &#097;&#098;&#111;&#118;&#101; can &#098;&#101; diagnosed with polyneuropathy fibroma.</p>
<p>neurofibromatosis general surgical excision. Small &#097;&#110;&#100; limited to &#097; resection of neurofibromas; &#104;&#117;&#103;&#101; &#112;&#097;&#114;&#116; of the tumor can &#098;&#101; removed to correct deformity, improve function of stagnation. Because tumors are &#111;&#102;&#116;&#101;&#110; associated with skin &#097;&#110;&#100; basal adhesion, &#097;&#110;&#100; very rich blood supply, with sinusoids, more bleeding during surgery, &#097;&#110;&#100; tumor crisp texture, with the general approach is &#110;&#111;&#116; easy to &#115;&#116;&#111;&#112; the bleeding, it &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; fully prepared before surgery blood, &#097;&#110;&#100; select the hypothermic anesthesia . Tumor resection surgery sharp surrounding tissue, &#116;&#104;&#105;&#115; method faster &#116;&#104;&#097;&#110; the blunt dissection &#097;&#110;&#100; bleeding &#108;&#101;&#115;&#115;. Application of electric knife surgery bilateral carotid artery ligation, &#097;&#110;&#100; the application of transcatheter arterial embolization (TAE) will &#097;&#108;&#115;&#111; help &#115;&#116;&#111;&#112; the bleeding.</p></p>
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