PMC5431708_01
Patient's skin and teeth manifestations.. Notes: (A, B) Hyperpigmented lesions on the back and abdomen; (C) stage 4 hypopigmented lesion on the lower limbs; (D) conoid and missing teeth.
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On examination, she was found to have hyperpigmented skin over her chest, abdomen, and back which followed the lines of Blaschko (Figure 1). She had hypopigmentation over her lower limbs with atrophic scar (Figure 1) and had missing teeth, conoid teeth (Figure 1), and wooly hair.
Cardiac catheterization.. Notes: (A) Right pulmonary artery; (B) left pulmonary artery. Black arrows point to collateral vessels; white arrows point to right and left pulmonary arteries.
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The cardiac catheterization revealed collaterals from plural arteries and complete obstruction of some arterioles bilaterally (Figure 2).
PMC5431708_02