This is a patient with neurofibromatosis type 1, an autosomal dominant neuro-cutaneous disorder. In the first two photos (Figures 1 and 2), multiple neurofibromasas well as café-au-lait spots are present on the trunk and upper limbs. In the third and forth photo (Figures 3 and 4), freckling can be seen at the axillary and inguinal region.
Other features of neurofibromatosis type 1 include optic glioma, Lisch nodules (iris harmatomas), osseous lesions (e.g. sphenoid dysphasia or thinning of long bones), whilst features of neurofibromatosis type 2 include bilateral eighth nerve palsy.