PMC6287087_01
PMC6287087_02
Clinical photographs of patient's face. Note the distinctive facial features with bushy arched eyebrows, long eyelashes, thick everted upper lip, broad nasal bridge, facial nevi, and hypertrichosis on upper cutaneous lip.
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PMC6287087_02_gr1.jpg
fig1
Clinical examination showed distinctive coarse facial features (Fig 1), fifth finger hypoplasia, first metatarsal hypermobility, and hypertrichosis characteristic of CSS. He had over 60 brown macules consistent with melanocytic nevi (under 5 mm) on the face (Fig 1), neck, abdomen, trunk (Fig 3), extremities, palms, and soles (up to 1.0 cm).
Clinical photograph of patient's knees, with numerous depigmented demarcated patches in a semisymmetrical distribution.
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PMC6287087_02_gr2.jpg
fig2
There were depigmented macules and patches on the elbows and knees (Fig 2) and malleoli, clinically characteristic of vitiligo.
Clinical photograph of patient's trunk, with numerous scattered melanocytic nevi.
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PMC6287087_02_gr3.jpg
fig3
He had over 60 brown macules consistent with melanocytic nevi (under 5 mm) on the face (Fig 1), neck, abdomen, trunk (Fig 3), extremities, palms, and soles (up to 1.0 cm).