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Answers on p e5
A 36 year old woman was seen in the dermatology department because of a mole on her back. On examination, she had an 8 mm uniformly pigmented lesion with regular margin and texture on her midback, which clinically was a benign naevus. The skin was also soft and hyperextensible, with a velvety appearance (fig 1). She also had extensive scars on her legs, forehead, arms, and back (fig 2), which developed after a viral illness when she was 10 years old. She was being treated by the rheumatologist for joint subluxation. She had one daughter who was similarly affected.
What other signs and symptoms would she present with?
What could be the cause of scars across her back?
What is the diagnosis?