Please click to enlarge.
Note what signs you see.
I (W. Wertelecki, M.D.) see hyperpigmented melanic skin patches, some dark and other of CaL (café-au-lait) color, under these patches there are irregular areas of subcutaneous and cutaneous hypertrophy, the foot is deformed, hypertrophied, the toes and hallux are mal-positioned. In addition there is the small area of the hyperpigmented skin with a papilla-like protrusion suggestive of a benign overgrowth suggestive a plexiform neurofibroma.
For further perspective see this patient’s gallery.