{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T21:15:27Z","timestamp":1769375727984,"version":"3.49.0"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,12,16]],"date-time":"2014-12-16T00:00:00Z","timestamp":1418688000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>An association between juvenile xanthogranuloma (<jats:styled-content style=\"fixed-case\">JXG<\/jats:styled-content>), neurofibromatosis type 1 (<jats:styled-content style=\"fixed-case\">NF<\/jats:styled-content>1), and juvenile myelomonocytic leukemia (<jats:styled-content style=\"fixed-case\">JMML<\/jats:styled-content>) has been described in the literature but has only been documented in approximately 20 cases. We diagnosed a patient with <jats:styled-content style=\"fixed-case\">NF<\/jats:styled-content>1 at 25\u00a0months of age, before any cutaneous stigmata of this disease had appeared, because we decided to screen for the <jats:italic><jats:styled-content style=\"fixed-case\">NF<\/jats:styled-content>1<\/jats:italic> gene mutation because of his presentation with multiple <jats:styled-content style=\"fixed-case\">JXG<\/jats:styled-content>s and moderate macrocephaly (2.5 standard deviations) at 9\u00a0months of age and <jats:styled-content style=\"fixed-case\">JMML<\/jats:styled-content> diagnosed at 20\u00a0months of age. The child is well today after treatment with chemotherapy and allogenic bone marrow transplantation. With increased awareness, patients with <jats:styled-content style=\"fixed-case\">JXG<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">NF<\/jats:styled-content>1 who develop symptoms possibly related to <jats:styled-content style=\"fixed-case\">JMML<\/jats:styled-content>, such as paleness, skin bleeding, cough, unexplained fever, and hepatosplenomegaly, should be further evaluated. We also emphasize that multiple <jats:styled-content style=\"fixed-case\">JXG<\/jats:styled-content> lesions can be an early marker of <jats:styled-content style=\"fixed-case\">NF<\/jats:styled-content>1.<\/jats:p>","DOI":"10.1111\/pde.12478","type":"journal-article","created":{"date-parts":[[2014,12,16]],"date-time":"2014-12-16T14:17:39Z","timestamp":1418739459000},"source":"Crossref","is-referenced-by-count":24,"title":["Neurofibromatosis Type 1 Diagnosed in a Child Based on Multiple Juvenile Xanthogranulomas and Juvenile Myelomonocytic Leukemia"],"prefix":"10.1111","volume":"32","author":[{"given":"Sune R. 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