A 13-year-old boy had progressive pigmentary changes affecting his limbs which began when he was 9 months of age. He also had a history of café au lait macules on his trunk since birth which were becoming more numerous. The diagnosis of reticulate acropigmentation of Dohi (dyschromatosis symmetrica hereditaria) and neurofibromatosis type 1 (NF-1) was made on the basis of the clinical features. To our knowledge, this is the first report of these two conditions occurring in the same patient.
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Tan et al. (1997) studied this question.
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