Quiz: Brown Patches on Torso and Limbs

A middle-aged woman is sent by her dermatologist for an eye examination due to several brown patches on her torso and limbs, similar to those shown in the image above. These patches were first observed during infancy and have increased in both size and number over time. Other family members on her father’s side also display similar skin lesions.

She has no vision complaints and her uncorrected acuity is 20/20 in each eye. Her medical history includes gastroparesis, foot drop, hypertension, and arrhythmia. During her school years, she struggled with a learning disability.


Goura Chattannavar, MBBS, DNB, L V Prasad Eye Institute, Hyderabad, India
Alex V Levin, MD, MHSc, Flaum Eye Institute, University of Rochester, New York, US

22 thoughts on “Quiz: Brown Patches on Torso and Limbs”

  1. Excellent review on NF1
    As mentioned by a colleague, TS is also mentioned as a condition causing Cafeaulait spots


Leave a Comment