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Living with Neurofibromatosis-Noonan syndrome

A condition that combines features of neurofibromatosis type 1 and Noonan syndrome, with skin spots, short height, and heart differences.

Understanding Neurofibromatosis-Noonan syndrome

Neurofibromatosis-Noonan syndrome (NFNS) is a RASopathy and a variant of neurofibromatosis type 1 that also has features of Noonan syndrome.

It combines NF1 features, such as café-au-lait spots, freckling in the armpits and groin, and multiple neurofibromas, with Noonan syndrome features, such as short height, typical facial features, heart defects, and an unusual chest shape. Because these conditions overlap, genetic testing is often needed for a correct diagnosis. GARD lists onset in the newborn period and infancy.

Signs & symptoms

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

  • Café-au-lait spots
  • Short stature
  • Heart differences, such as narrowing of the pulmonic valve
  • Wide-set, drooping, downslanting eyes
  • Webbed neck
  • Learning differences

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 bone and joint specialists, cancer specialists, genetic specialists and heart and blood vessel specialists.

  3. Consider genetic testing

    Changes in NF1 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

    Children's Tumor Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Cancer specialists (oncologists); Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Expert lists: Children's Tumor Foundation
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 Children's Tumor Foundation 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
Should we have genetic testing to confirm the diagnosis?
How often should my heart be checked?
How often should I be checked for neurofibromas?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesNF1

GARD lists changes in the NF1 gene. The condition is autosomal dominant, which means one changed copy of the gene can be enough to cause it.

GeneticSkin

Also known as: neurofibromatosis noonan syndrome; neurofibromatosis type 1 noonan syndrome; neurofibromatosis type 1-noonan syndrome; neurofibromatosis with noonan phenotype; nfns; nfns - neurofibromatosis noonan syndrome

Patient organizations

Source: NIH GARD · Neurofibromatosis-Noonan syndromeGARD ID 372 · 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 Neurofibromatosis-Noonan syndrome.

Explore the Neurofibromatosis-Noonan syndrome blog

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