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{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M34_F4.jpg"}},{"insert":"\n\n"},{"insert":"You had found several tiny light brown macules on Kevin\u0027s back while examining him. His mother said they had been there since age three. \r\n\r\nThe macules had progressively become larger and darker since. You counted seven, ranging from 5-7 mm in diameter, observing a similar lesion in the axillary region.\n\nThere were no other abnormal examination findings, and Kevin was within the normal height and weight ranges for his age.\r\n \r\nHis mother had mentioned that her father, Kevin\u0027s maternal grandfather, died of a cerebrovascular event at the age of 68. There was no history of cancer or hereditary disease in the family.\n"}]}