312836.fig.001a
(a) Newborn—Total Body Flare
312836.fig.001b
(b) 2 weeks—Father’s Hand Print
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(c) 23 Weeks—Café-au-Lait Pigment Spots
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(d) 28 Weeks—Pigment Spots on the Back
Figure 1: The upper two photos are of the newborn girl demonstrating the total body flare and the impression of the Father’s hand on her back. The bottom two photos show the pigmented sports that appear to be Cafe-au-Lait skin pigmentation that were apparent at birth and are still present. The flare reaction was present at birth, began to subside at 10–12 weeks, and occurred periodically through 55 weeks of age. The multiple pigmented spots has been diagnosed as NF1 at U.S. San Francisco, Department of Dermatology.