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Correspondence
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Volume 343:1573 November 23, 2000 Number 21
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Medical Mystery: The Answer

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To the Editor: The medical mystery in the October 5 issue1 involved a 19-year-old man, shown here in Figure 1, who had numerous dome-shaped elevations on the surface of the iris, or Lisch nodules. Lisch nodules are melanocytic hamartomas that are either yellow or brown. They are visible on inspection, pathognomonic of neurofibromatosis type 1, and do not cause symptoms. The incidence of Lisch nodules among patients with neurofibromatosis type 1 increases with age: at the age of 5 years only 22 percent have Lisch nodules, whereas at the age of 20 years 100 percent have them.2 Therefore, older . . . [Full Text of this Article]

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