PMC4802530_01
Neurofibromas.
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On physical examination, the patient had numerous 3- to 10-mm dark brown hyperpigmented papules and soft nodules located primarily on the back, chest, abdomen, and arms, which were clinically consistent with neurofibromas (Fig 1).
Axillary freckling.
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She also had numerous 1- to 2-mm hyperpigmented freckles on the trunk, face, and axillae (Fig 2) that she stated were present since childhood, and more than 6 cafe-au-lait macules larger than 1.5 cm on the trunk.
Plexiform neurofibroma.
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In addition, she was found to have a dark brown hyperpigmented plaque on her right thigh that was clinically consistent with a plexiform neurofibroma (Fig 3).