PMC3481920_01
Cafe Au Lait Spots and cutaneous neurofibromata over patient's back
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F1
Cutaneous examination revealed multiple neurofibromata and cafe au lait spots over back [Figure 1].
Palmar freckling
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F2
Palmar freckling [Figure 2] and axillary freckling [Figure 3] were also seen.
Axillary freckling
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F3
Palmar freckling [Figure 2] and axillary freckling [Figure 3] were also seen.
Gangrene involving tip of thumbs and index fingers
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F4
Thumb and index fingers exhibited dry gangrene at finger tips [Figure 4].