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A 1-year-old female child presented with depigmented lesions on her trunk and extremities since birth. Examination revealed multiple, depigmented, atrophic macules in a blashkoidal pattern involving both halves of the trunk and limbs (figure 1A). She also had ectrodactyly of her feet with left foot showing ‘lobster claw’ anomaly (figure 1B) and dystrophy and anonychia of finger and toe nails. Another noticeable feature was the presence of multiple, soft swellings on both feet suggestive of subcutaneous fat herniation (figure …
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