Rare yet Resilient- Insights into Congenital Neurofibromatosis- Clinical Images

Abstract

A 42-year-old female patient presented to our hospital with a chief complaint of diffuse swelling on the right zygomatic region of the face, accompanied by multiple generalized cystic swellings distributed across both limbs, the abdomen, and the back. The largest of these swellings measured 2 cm x 1 cm. The swellings were asymptomatic, lacking pain and tenderness. The patient reported a history of similar swellings, for which she had undergone surgical excision twice previously. Despite these interventions, the swellings recurred, with the current recurrence being significantly larger than the previous ones. Notably, there was no history of pus discharge from any of the swellings, which have been present since birth. Additionally, the patient has a lipoma located over the left mid-back region, measuring 5 cm x 5cm x 3 cm, which has been present for the past four years. Her medical history is negative for hypertension, diabetes mellitus, tuberculosis, and thyroid disease. Surgical history includes excision of swellings one year prior.