PMC4318042_01
Multiple hypopigmented atrophic macules present linearly and in reticulate grouping on the trunk along the lines of blaschko
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F1
Cutaneous examination revealed multiple hypopigmented atrophic linear streaks, and macules of varying sizes present on the forehead, neck, trunk, thighs, gluteal region, genitalia, and upper and lower limbs along the lines of blaschko [Figures 1 and 2].
Multiple hypopigmented atrophic macules on the lower limbs along the lines of blaschko
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F2
Cutaneous examination revealed multiple hypopigmented atrophic linear streaks, and macules of varying sizes present on the forehead, neck, trunk, thighs, gluteal region, genitalia, and upper and lower limbs along the lines of blaschko [Figures 1 and 2].
Syndactyly of left foot and ectrodactyly of right foot with changes in nails
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F3
There was syndactyly of left foot and lobster claw deformity (ectrodactyly) of right foot [Figure 3].
Presence of supernumerary nipples
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F4
She had supernumerary nipples [Figure 4].
The epidermis shows parakeratosis with occasional dyskeratotic cells with papillary edema and superficial perivascular lymphocytic infiltrate in the dermis (H and E, x40)
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F5
Skin biopsy on the trunk showed focal spongiosis, occasional dyskeratotic keratinocytes, mild papillary edema, and focal papillary dermal fibrosis with superficial perivascular lymphocytic infiltrate [Figure 5].