PMC4438166_01
Bilateral port-wine stain over face.
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fig1
Systemic examination of the child showed the following skin lesions: (1) bilateral reddish pink macular lesion (nevus flammeus) involving face along all the 3 divisions of trigeminal nerve: V1, V2, and V3 distribution (Figure 1) with an overlying hypertrophy of skin.
Port-wine stain of left forearm and disuse atrophy of right forearm and hand.
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fig2
Similar lesion was present on left forearm (Figure 2); additionally, child had aberrant large, diffuse, well-defined blue-black asymptomatic macular dermal pigmentary lesions (nevus fuscocaeruleus) involving upper trunk (Figure 3).
Mongolian spots (black arrow) and port-wine stain (white arrow).
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fig3
Similar lesion was present on left forearm (Figure 2); additionally, child had aberrant large, diffuse, well-defined blue-black asymptomatic macular dermal pigmentary lesions (nevus fuscocaeruleus) involving upper trunk (Figure 3).
Ocular melanosis.
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fig4
The sclera of both the eyes showed bluish black pigmentation:melanosis bulbi (Figure 4).