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Living with Legius syndrome

An inherited condition that mainly changes skin color, with flat brown patches, and can affect learning and attention.

Understanding Legius syndrome

Legius syndrome is an inherited condition marked by changes in skin coloring (pigmentation).

Almost everyone with Legius syndrome has multiple café-au-lait spots, flat patches darker than the skin around them. Some have freckles in the armpits and groin, a larger head, or unusual facial features. Most have normal intelligence, but some have learning disabilities or ADD/ADHD. It can look like neurofibromatosis type 1 in early childhood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Several café-au-lait spots (flat, darker skin patches)
  • Freckles in the armpits
  • Freckles in the groin
  • Specific learning disability
  • Differences in behavior

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in SPRED1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    RASopathies Network may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: RASopathies Network
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with RASopathies Network and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How can we tell Legius syndrome apart from neurofibromatosis type 1?
Would SPRED1 genetic testing help our family?
What learning or attention supports might help my child?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Dominant
GenesSPRED1

It is caused by changes in the SPRED1 gene. A person can have it after inheriting one changed copy of the gene (autosomal dominant).

GeneticNeurologicalSkin

Also known as: neurofibromatosis 1-like syndrome; neurofibromatosis type 1-like syndrome; nf1-like syndrome; nfls - neurofibromatosis type 1-like syndrome

Patient organizations

Source: NIH GARD · Legius syndromeGARD ID 10714 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Legius syndrome.

Explore the Legius syndrome blog

Explore research for Legius syndrome

Explore actively recruiting Legius syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Legius syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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