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A boy aged 3 years presented with mild motor delay. He could walk independently but could not run. On examination, he was hypotonic and had multiple café-au-lait spots (CALS; >6) on the back (figure 1). There was no family history and/or other features of neurofibromatosis-1 (NF-1). Neuroimaging was non-contributory. He was initiated on rehabilitative measures. Six months later, he developed choreoathetosis and neck dystonia. Repeat neuroimaging was normal. Peripheral smear did not …
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