Segmental neurofibromatosis (neurofibromatosis type V) is a rare disor
der characterized by cafe-au-lait macules and neurofibromas, or only n
eurofibromas, limited to one region of the body. Three patients with s
egmental neurofibromatosis are described, and cases of this condition
in the world literature are reviewed. Segmental neurofibromatosis has
only been described in 82 patients, including our three, The median ag
e at onset was 28 years and the incidence was higher in women (58%). T
he neurofibromas most commonly occupied either a cervical or thoracic
dermatome and were unilateral, occurring more often on the right side
(43 patients) than the left (34 patients). Cafe-au-lait macules were p
resent in 26% of patients. Axillary freckling was described in only ni
ne patients, Disease-associated systemic involvement was uncommon. Mos
t patients with segmental neurofibromatosis (93%) do not have a family
history of neurofibromatosis.