Neurofibromatosis type 1

Also called NF1 or Von Recklinghausen's disease

Neurofibromatosis type 1 (NF1) is a genetic condition that causes non-cancerous lumps (neurofibromas) to grow on nerves, and pale brown skin patches called café au lait spots. It is present from birth, although some signs develop with age. It can be inherited from a parent or happen for the first time in a child.

Last updated Nov 9, 2026

What it is

Many people have mild symptoms, but it can cause learning difficulties, bone problems, high blood pressure and, rarely, cancers.

There is no cure, but yearly check-ups help find problems early. Some lumps can be removed, and newer medicines can shrink certain tumours.

Common signs

  • Six or more café au lait spots
  • Freckles in the armpits or groin
  • Soft lumps on or under the skin
  • Learning or attention difficulties
  • A curved spine or bowed legs

How it is usually diagnosed

  • Examination of the skin and eyes
  • Family history
  • Genetic testing, sometimes

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Yearly check-up notes
  • Eye examination results
  • Blood pressure readings
  • Scan reports and genetics letters

Questions to ask your doctor

  • What checks are needed each year?
  • Could my children inherit it?
  • Which changes in a lump should I report?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • A lump that suddenly grows, becomes painful or hard, or new weakness or numbness: get it checked promptly

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

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