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Neurofibromatosis 27

Neurofibromatosis 27

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Published by caliptra36
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Published by: caliptra36 on May 10, 2010
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01/23/2013

 
 
V\AA@YR?
Cl|ymdbiyma`umvbv {bug ugl|cfmaamc zylvlcu`ubmc md dmf`nkbk`cubva md ugl nldu dmyl`ya bc ` 0< rl`ymne vfgmmn imr bv zylvlcule# Uglyl {`v cmltbelcfl md ugl ebvl`vl lnvl{glyl bc uglimer# Ugl y`ebmky`zgbf dl`u|ylv md `g|kl nmi|n`ule vmdu ubvv|l a`vv `ce ugla`yhlenr ugbccle mtly u|i|n`ule `ceim{le imclv md ugl dmyl`ya {bug fmyubf`neldlfuv {lyl v|kklvubtl md ugl ebvl`vl `ceugbv {`v fmcdbyale mc gbvumnmkr#@ckbmky`zgbf dl`u|ylv gm{ltly y`bvlev|vzbfbmc md ` v`yfma`um|vuy`cvdmya`ubmc# Lwulcvbtl v|ykbf`nlwfbvbmc zyme|fle ` kmme ylv|nu {bugylvumy`ubmc md d|cfubmc# Ugl fnbcbf`n `ce y`ebmnmkbf`ndl`u|ylv `yl ebvf|vvle#
BCUYME\FUBMC?
Cl|ymdbiyma`umvbv 'CD" bv `c
0.9
bcglybule `|umvma`n emabc`cu ebvl`vl # Ugl bcfbelcfl md ugl ebvl`vl `amckF`|f`vb`cv bv 0?9::: 6::: ibyugv {bug
6
lp|`n a`nl um dla`nl y`ubm# Bc m|ylctbymcalcu ugl bcfbelcfl `ce vlw y`ubmmd ugl ebvl`vl bv cmu rlu elulyabcle# U{murzlv md ugl ebvl`vl `yl hcm{c `ce uglr lwbvu umklugly# Urzl B 'CD0" {gbfg g`v `cbcfbelcfl md 0?5::: nbtl ibyugv bvmugly{bvl hcm{c `v TmcYlfhnbckg`|vlc+v ebvl`vl my zlybzgly`ncl|ymdbiyma`umvbv# Ugbv urzl bvfg`y`fulyble ir a|nubznl f|u`clm|v `cev|if|u`clm|v cme|nlv 'f`dâ `| n`bu vzmuv" {gbfg bcfyl`vl bc c|aily {bug `kl `ce`yl vbu|`ule `nmck elya`n clytlv `ce uglcl|y`n znlw|v iy`cfglv# EC@ vu|eblvg`tl vgm{c ugl f`|v`ubtl klcl eltb`ubmc
5
um il a`zzle mc fgymamvmal 0;# Urzl 9 'CD9" {bug ugl bcfbelcfl md 0?<:.::: bv mugly{bvl hcm{c `v flcuy`ncl|ymdbiyma`umvbv {bug eb`kcmvubffybulyb` bcfn|ebck `fm|vubf cl|yma`. my`cr u{m md ugl dmnnm{bck8 cl|ymdbiyma`.alcbckbma`. knbma` my vfg{`cma`#Klclubf vu|eblv yltl`nle ` klcl eltb`ubmc
5
nmf`ule mc fgymamvmal 99#
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Dyleybfh Tmc Ylfhnbckg`|vlc {`v ugl dbyvu um elvfybil bc elu`bnv.klcly`nbvle cl|ymdbiyma`umvbv# Uglnbuly`u|yl mc cl|ymdbiyma`umvbv bvlwulcvbtl dmy ugl F`|f`vb`c zmz|n`ubmc#Dmy ugl in`fh zmz|n`ubmclvzlfb`nnr bc @dybf` mcnr ` dl{ f`vlv g`tlillc vu|eble {bug a|fg lazg`vbv mcfnbcbf`n zylvlcu`ubmc `ce
4.;.7
a`c`klalcu#Bc ugbv f`vl ` zlf|nb`yzylvlcu`ubmc md dmf`n kbk`cubva bc ugl|zzly lwuylabur {gbfg bv `c |cfmaamc
7.2
vbkgu dmy ugl ebvl`vl bv ebvf|vvle#
F@VL YLZMYU?
L\. ` 0< rl`y mne vfgmmn imr.zylvlcule `u ugl \CUG v|ykbf`n |cbu {bug` vmdu ubvv|l a`vv bc ugl zymabw`n u{m!ugbyev md ugl nldu dmyl`ya# Ugl a`vvmtlynble ugl lnim{ ombcu `ce vnm{nr bcfyl`vle bc vbl mtly ` zlybme md ugyll rl`yv# Vf`ybdbf`ubmc a`yhv bcdnbfule ir ugl glyi`nbvu {lyl ltbelcu mc ugl a`vv# Uglyl {`v cm gbvumyr md `culflelcuuy`|a`# Ugl a`vv {`v z`bcnlvv `ce n`ulykyl{ um ilfmal z`bcd|n {bug ebddbf|nur bcugl |vl md ugl nbai#Z`vu alebf`n `ce d`abnr gbvumyr  {lyl |cyla`yh`inl# Klcly`n zgrvbf`nlw`abc`ubmc yltl`nle ` vmdu nmi|n`ulea`vv. mtlynrbck ugl nldu lnim{ ombcu `celwulcebck zmvulybmynr `nmck ugl zymwba`nu{m!ugbyev md ugl dmyl`ya. ylvuybfubck d|nnlwulcvbmc md ugl `ya# Ugl a`vv {`v
\CFMAAMC ZYLVLCU@UBMC MD CL\YMDBIYMA@UMVBV DMF@N KBK@CUBVA BCUGL \ZZLY LWUYLABUR
Bam @# M# F#. /Mhmrl B# O#Elzu# md Y`ebmnmkr. Limcrb Vu`ul \cbtlyvbur Ul`fgbck Gmvzbu`n#. @i`h`nbhb Cbklyb` /Elzu# md Y`ebmnmkr \CUG#. Lc|k|#
Fmyylvzmcelcfl? 
Ey# Bam @# M# F Elzu# md Y`ebmnmkr. Limcrb Vu`ul \cbtlyvbur Ul`fgbck Gmvzbu`n. @i`h`nbhb Cbklyb`# L!a`bn `eeylvv? `|vubclbam J r`gmm#fma 
9:
 
vnbkgunr yln`ubtlnr {`yaly um um|fg##@|vf|nu`ubmc dbcebckv {lyl lp|btmf`n# Ugl ylvu md ugl vrvulav `ce n`imy`umyr dbcebckv {lyl lvvlcub`nnr cmya`n#@ {myhbck bazylvvbmc md `yulybm!tlcm|v a`ndmya`ubmc '@TA" {`v a`el {bug znlwbdmya cl|ymdbiyma`umvbv `ceg`la`ckbmzlybfruma` `v ebddlylcub`nv bcug`u myely#Zn`bc y`ebmky`zgbf dbcebckv {lyl `g|kl nmi|n`ule vmdu ubvv|l a`vv mtlynrbckugl nldu lnim{ ombcu `ce ugl zymwba`n u{m!ugbyev md ugl dmyl`ya# Ugl |nc` `ce ugly`eb|v {lyl a`yhlenr ugbccle.mtlyu|i|n`ule `ce im{le n`uly`nnr {bugugl y`eb|v amyl ugbccle m|u ug`c ugl|nc`# Lymvbtl fmyubf`n eldlfuv {lylzylvlcu mc ugl aleb`n a`ykbcv md uglimclv 'Dbk B"# @ckbmky`zgr md ugl iy`fgb`n`yulyr elamcvuy`ule ugl |nc` `ce y`eb`n`yulyblv# Uglyl {`v bcfyl`vle t`vf|n`ybumd ugl nlvbmc {bug n`ykl umyu|m|v `cez`ugmnmkbf`nnr nmmhbck tlvvlnv 'Dbk# 9 $ 6"#\nuy`vmcmky`zgr `ce FU# {lyl cmu emcl#Gbvumnmkr ylzmyu md ugl vzlfbalcu`hlc `u ibmzvr yltl`nle c|alym|vdbiymin`vu flnnv {bug elcvl ylkbmcv md fmnn`klc# Elklcly`ubtl fg`cklv {bugt`vf|n`y dl`u|ylv `ce d`u flnnv {lyl vllc#@nn uglvl {lyl fmcvbvulcu {bugcl|ymdbiyma`umvbv#Lwulcvbtl v|ykbf`n lwfbvbmc md ugla`vv {`v emcl# Ugl z`ublcu a`el kmmezymkylvv `ce {`v ebvfg`ykle gmal um ildmnnm{le |z `u ugl v|ykbf`n m|y z`ublcu'VMZ"# Mcl rl`y `duly uglyl {`v cmltbelcfl md ylf|yylcfl `ce uglyl {`vkmme ylvumy`ubmc md ugl |vl md ugl `ya#
EBVF\VVBMC?
Cl|ymdbiyma`umvbv g`v ` d`abnb`nbcfbelcfl {bug lp|`n vlw ebvuybi|ubmc#Vmalubalv ugl ebvl`vl mff|yv {bugm|u `
6
d`abnr gbvumyr `v bc ugl f`vl ylzmyule `cef`c `ybvl dmnnm{bck ` vzmcu`clm|v klcla|u`ubmc# Ugl fg`y`fulybvubfv md uglebvl`vl bcfn|el f`dâ!`|!n`bu!vzmuv 'vllc
6
bc 2<, md f`vlv"# Ugl ebvl`vl a`r vmalubalv il `vvmfb`ule {bug vg`yz`cknl hrzgmvfmnbmvbv. a`fymflzg`nr i`ylmyibu. {belcbck md ugl vlnn` u|yfbf` `cetlvvln c`ltb# Ugl eb`kcmvubf fybulyb` bvug`u `u nl`vu u{m md ugl dmnnm{bck nlvbmcva|vu il zylvlcu?!
!
f`dâ!`|!n`bu vzmuv
!
u{m cl|ymdbiyma`v md `cr urzlebvfylul ym|cele vmdu ubvv|l a`vvmy znlwbdmya cl|ymdbiyma` {gbfgbv ` umyu|m|v u`cknl md d|vbdmyalcn`yklalcu md zlybzgly`n clytlv#
!
Ebvubcfubtl mvvlm|v nlvbmcv l#k nmckimcl fmyubf`n ugbccbck {bug my {bugm|u zvl|em`yugymvbv
!
Dbyvu elkyll yln`ubtl 'z`ylcu.vbinbck my fgbne" {bug zlybzgly`ncl|ymdbiyma`umvbv#Bc m|y z`ublcu ugl ebvubcfubtl dl`u|yl md `znlwbdmya nlvbmc `ce ugl mvvlm|v fg`cklvmd fmyubf`n ugbccbck `ce mtlyu|i|n`ubmc {lyl zylvlcu# @ zlf|nb`y a`cbdlvu`ubmc md nmf`nble lcn`yklalcu md ` z`yu md my md mcllwuylabur dmf`n kbk`cubva {bug imclugbccbck {`v vllc# Ugbv nlvbmc bv amvumdulc vllc bc ugl nm{ly lwuylabublv i|u
7.2
tlyr |cfmaamc bc ugl |zzly nbaiv# Ugl y`ebmky`zgbf dl`u|ylv vllc {glc lwuylabublv `yl bctmntle bcfn|elvmdu ubvv|l a`vvlv {gbfg a`r zyme|fldmf`n kbk`cubva. imcl mtly kym{ug. mtlyu|i|n`ubmc. `culym n`uly`n im{bck md uglnm{ly g`nd md ugl ubib` 'amvu fmaamc" myugl dbi|n` 'dylp|lcunr bctmntle" `ce ugl
7.2
|zzly lwuylabublv 'tlyr |cfmaamc"#Bc m|y z`ublcu. uglyl {`v cmd`abnr gbvumyr md cl|ymdbiyma`umvbv my`cr mugly fg`y`fulybvubf nlvbmc lnvl{glylbc ugl imer lwflzu dmy ugl dmf`nlcn`yklalcu md ugl nldu dmyl`ya {gbfg
7.2
`nvm bv `c |cfmaamc vbul dmy ugl nlvbmc#Bc ugl z`ublcu gm{ltly amvu md ugly`ebmnmkbf`n dl`u|ylv md vmdu ubvv|l a`vv`ce ugl mvvlm|v fg`cklv {lyl zylvlcu# Ugl `ckbmky`zgbf dbcebckv bc ugbvf`vl {lyl tlyr bcdmya`ubtl um ugl lwulcuug`u flyu`bc z`ugmnmkbf`n fmcebubmcv nbhl@T!a`ndmya`ubmc8 @!T dbvu|n` `ceg`la`ckbmzlybfruma` g`tl um ilfmcvbelyle `v ebddlylcub`nv# Bc @T dbvu|n`lmy @T a`ndmya`ubmc. `u `ckbmky`zgr uglfmcuy`vu a`ulyb`n z`vvbck ugym|kg ugldbvu|n` yl`fglv ugl fmaa|cbf`ubck tlbcv# Uglvl `icmya`n tlbcv `yl dbnnle l`ynr bcugl lw`abc`ubmc `ce `yl |v|`nnr kymvvnr ebn`ule `ce umyu|m|v# Vmdu ubvv|l a`vv.fmyubf`n imcl eldlfuv `ce bcfyl`vle imclelcvbur {bug bcfyl`vle imcl kym{ug `yl`nvm vllc#Zgnlimnbugv `yl mdulc zylvlcu `ceugl amvu dylp|lcu vbul md nmf`ubmc bv bc uglnm{ly lwuylabublv# A`omybur md @T dbvu|n`l`yl |v|`nnr vlp|ln`l md uy`|a`# Bc uglf`vl md m|y z`ublcu. uglyl {`v cm
[lvu @dybf`c Om|yc`n md Y`ebmnmkr  @zybn 9::0 Tmn# 7 Cm# 0
90
 
`culflelcu uy`|a`# Ugbv fm|znle {bug|zzly lwuylabur nmf`ubmc md ugl nlvbmc `ceugl zylvlcfl md mtlyu|i|n`ubmc md uglimclv `nn a`el ugl ebddlylcub`n eb`kcmvbvmd @T dbvu|n` my a`ndmya`ubmc tlyr |cnbhlnr#G`la`ckbmzlybfruma` md uglimcl fm|ne il ` fmcvbelyle ebddlylcub`n bctbl{ md ugl `ckbmky`zgbf dl`u|ylv md elcvlu|am|y vu`bcbck. fmfhvfyl{ tlvvlnv. `cet`vf|n`y ebvzn`flalcuv# Ugl nlvbmc bv|v|`nnr nmf`ule bc ugl nm{ly lwuylabublv`ce ugl `kl bcfbelcfl bv ugl dm|yug `ce
0:
dbdug elf`elv# M|y z`ublcu {`v mcnr 0< rl`yv mne `ce ugl vbul md ugl nlvbmc {`v `uurzbf`nnr nmf`ule bc ugl |zzly lwuylabur glcfl ugl ebddlylcub`n md g`la`ckbm!zlcfruma` {`v |cnbhlnr#Dbiymv`yfma`um|vuy`cvdmya`ubmc g`v illc ylzmyule bc 0:,
2
md f`vlv md cl|ymdbiyma`umvbv# Bc v|fgf`vlv `ckbmky`zgr a`r vgm{z`ugmnmkbf`n fbyf|n`ubmc. t`vf|n`ylcf`vlalcu `ce il`ebck. `yulybmtlcm|vvg|cuv `ce u|am|y vu`bcbck# Vmal md uglvl dl`u|ylv {lyl zylvlcu bc m|y z`ublcu`ce ugbv y`bvle ugl zmvvbibnbur md `v`yfma`um|v fg`ckl# Ugl gbvumnmkr md ugl vzlfbalc dyma ugl nlvbmc yltl`nlec|alym|v zymnbdly`ubtl dbiymin`vuv.t`vf|n`y fg`cklv `ce elcvl `yl`v md fmnn`klc `ce elklcly`ubtl fg`cklv# Uglvl vlybm|vnr v|kklvu a`nbkc`cuuy`cvdmya`ubmc {gbfg fm|ne ilfmcvbvulcu {bug ugl fmaznlw `ckbmky`zgbfdbcebckv# Ugl uyl`ualcu md cl|ymdbiyma`umvbv elzlcev mc ugl urzl`ce ugl vltlybur# [glc ugl fmcebubmclbugly bctmntlv tbu`n vuy|fu|ylv myfmcvubu|ulv ` d|cfubmc`n mivu`fnl ir y`zbekym{ug my lwfy|fb`ubck z`bc nbhl bc m|yz`ublcu. lwulcvbtl v|ykbf`n lwfbvbmc bvbcebf`ule# Ugbv `zzym`fg {m|ne kbtl `kmme ylv|nu `ce a`hl dmy ` kmmed|cfubmc`n ylvumy`ubmc `nn md {gbfg {lyl`fgbltle bc m|y z`ublcu#Bc n|fhr f`vlv bd lwfbvbmc bv
4.;
fmaznlul ylf|yylcfl bv |cfmaamc#Dbk# B?Zn`bc y`ebmky`zg md ugl nldu dmyl`ya# Ugbvvgm{v ugl n`ykl nmi|n`ule vmdu ubvv|la`vv bc ugl zymwba`n 9-6 '`c |c|v|`nvbul dmy cl|ymdbiyma`umvbv"# @ce y`eb|v`yl ugbccle m|u mtlyu|i|n`ubmc '|nc` 3y`eb|v"# Cmul `nvm ugl a`yhle im{bck mugl imclv `ce ugl lymvbtl fmyubf`n eldlfuvmc ugl aleb`n a`ykbcv. kbtbck ugla ` {`tr `ce |ce|n`ubmc `zzl`y`cfl#Dbk# 9?@ckbmky`a md ugl iy`fgb`n `yulyr# Ugll`ynr zg`vl glyl elamcvuy`ulv ugl |nc``ce y`eb`n `yulyblv {bug l`ynr dbnnbck md `icmya`nnr nmmhbck tlvvlnv#Dbk# 6? Ugbv zg`vl vubnn elamcvuy`ulv ugl `yulyblv`ce `c bcfyl`vl bc ugl t`vf|n`ybur md uglnlvbmc {bug n`ykl umyu|m|v `cez`ugmnmkbf`nnr nmmhbck tlvvlnv#
Dbk 0
[lvu @dybf`c Om|yc`n md Y`ebmnmkr  @zybn 9::0 Tmn# 7 Cm# 0
99

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