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Figure 1: Typical pattern of cutaneous hyperpigmentation and hypertrichosis: (a) Hyperpigmentation, hypertrichosis of lower limbs with sparing of knees in the patient from family 1. Micropenis is also seen. (b) Hyperpigmentation of the lower back, sparing of the buttocks, in the patient from family 2. (c) Hyperpigmentation and hypertrichosis of shins and dorsum of feet in the older patient from family 3

Figure 1: Typical pattern of cutaneous hyperpigmentation and hypertrichosis: (a) Hyperpigmentation, hypertrichosis of lower limbs with sparing of knees in the patient from family 1. Micropenis is also seen. (b) Hyperpigmentation of the lower back, sparing of the buttocks, in the patient from family 2. (c) Hyperpigmentation and hypertrichosis of shins and dorsum of feet in the older patient from family 3