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Related to cafe au lait spots: neurofibromatosis
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On clinical examination, we found seventeen cafe au lait spots ranging from 0.33 cm on the anterior and posterior body surface and extremities (Figure 1).
Courtenay Phillips, 17, who has ADHD, cafe au lait spots and violent mood swings, was also confirmed as having the disorder.
The patient also had multiple light brown spots in his axillae which measured around 1.5-2cm in size (Cafe au lait spots).
The three main findings of the disease include hyperpigmented cafe au lait spots, fibrous dysplasia and increased endocrine functions and excessive secretion of growth hormone is observed in 21% of the patients.
We report the case of a 19-year-old man with neurofibromatosis type 1 who presented for evaluation of odynophagia, left-sided hemiparesis, multiple cafe au lait spots all over his body, and numerous subcutaneous and cutaneous neurofibromas.