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Neurofibromatosis type 1 and the "elephant man's" disease: the confusion persists: an ethnographic study.
[proteus syndrome]
In
1986
,
two
Canadian
geneticists
had
demonstrated
that
Joseph
Merrick
,
better
known
as
the
Elephant
Man
,
suffered
from
the
Proteus
syndrome
and
not
from
neurofibromatosis
type
1
(
NF
1
)
,
as
was
alleged
by
dermatologist
Parkes
in
1909
.
Despite
this
and
although
the
two
diseases
differ
at
several
levels
:
prevalence
,
diagnostic
criteria
,
clinical
manifestations
and
transmission
,
the
confusion
between
NF
1
and
the
"
elephant
man
's
"
disease
continues
in
medical
and
social
representations
by
current
linguistic
usage
,
and
in
some
media
reports
.
With
this
article
,
we
want
to
1
)
document
the
persistence
and
extent
of
this
fallacy
,
2
)
identify
certain
critical
factors
that
contribute
to
its
persistence
,
and
3
)
evaluate
its
impact
on
the
health
and
well
being
of
patients
with
NF
1
and
their
family
members
.
Participant
observation
in
the
course
of
an
ethnographic
study
on
intergenerational
dialogue
between
individuals
with
neurofibromatosis
and
their
parents
-
Analysis
of
the
scientific
literature
and
of
pinpoint
articles
in
the
print
and
online
news
media
.
Our
findings
show
that
because
physicians
have
little
knowledge
about
NF
1
,
several
print
and
online
news
media
and
a
lot
of
physicians
continue
to
make
the
confusion
between
NF
1
and
the
disease
the
"
elephant
man
"
.
This
misconception
contributes
to
misinformation
about
the
disease
,
feeding
prejudices
against
affected
patients
,
exacerbating
the
negative
impacts
of
the
disease
on
their
quality
of
life
,
their
cognitive
development
,
their
reproductive
choices
,
as
well
as
depriving
them
of
proper
care
and
appropriate
genetic
counseling
.
If
family
physicians
and
pediatricians
were
properly
informed
about
the
disease
,
they
could
refer
their
patients
with
NF
1
to
NF
clinics
and
to
specialists
.
Thus
,
patients
and
their
family
members
would
benefit
from
better-tailored
clinical
management
of
their
cases
,
perhaps
even
optimal
management
.
[
corrected
]
Diseases
Validation
Diseases presenting
"neurofibromatosis"
symptom
22q11.2 deletion syndrome
child syndrome
coats disease
cowden syndrome
dedifferentiated liposarcoma
kindler syndrome
monosomy 21
oculocutaneous albinism
pendred syndrome
proteus syndrome
von hippel-lindau disease
well-differentiated liposarcoma
This symptom has already been validated