A school-age child has 2 café-au-lait spots that measure 0.6 cm in size located on the inner thigh. Which action should be taken in order to diagnose this client with neurofibromatosis (NF) type 2?

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Quizplus · Accepted Answer

The presence of multiple café-au-lait spots strongly suggests, but does not prove, the diagnosis of NF-1. Because many features associated with NF-1 may not appear until late childhood or adolescence, it is often impossible to make a definitive diagnosis of NF-1 in a young child whose only manifestations are multiple café-au-lait spots. Even if the child is affected, it could take years before another feature of the disorder appears and confirms the diagnosis. Because of this, healthcare providers should reexamine these children for the appearance of new features on an annual basis. The areas are not biopsied. An immediate eye examination is not required for this form of NF. Skin scrapings are not collected for NF to have a chromosome analysis completed.

A School-Age Child Has 2 Café-Au-Lait Spots That Measure 0