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Figure 4: Polydactyly was present in the left hand with hyperpigmented indurated plaques over bilateral elbows, knees and knuckles (a-c). Dental examination showed nodular gum hyperplasia (d)

Figure 4: Polydactyly was present in the left hand with hyperpigmented indurated plaques over bilateral elbows, knees and knuckles (a-c). Dental examination showed nodular gum hyperplasia (d)