Large Melanic Skin Patches
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Note what signs you see.
I (W. Wertelecki, M.D.) see large skin melanic patches with irregular borders in contrast to the smooth borders of café-au-lait spots characteristic of Neurofibromatosis type 1 – the female genitalia of this baby appear to have precociously sexually matured (this additional sign is highly pathognomonic – suggestive of a diagnosis).
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