Derm Dx: A young child with scoliosis and multiple evenly pigmented brown macules

A four-year-old girl with scoliosis presents with multiple, evenly pigmented, irregularly shaped brown macules, 10 mm to 30 mm in diameter on the back, torso and arms. The spots were present at birth but the patient’s mother reports that they have increased in prevalence over time. Further examination reveals several raised red skin tags and multiple small yellow-brown lesions on ...