7 year old girl brought in by mother with skin lesion
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This young patient is brought to your clinic by her mother. Her history is remarkable for multiple nontraumatic fractures over the years and bone deformities. On physical exam you notice this peculiar lesion. Which is the most likely diagnosis?
McCune-Albright Syndrome (MAS)
Neurofibromatosis Type 1 (NF1)
Two years later the patient presents to the ER with rapid, irregular heart rate and is diagnosed with atrial fibrillation with RVR (rapid ventricular rate). Given her history of MAS what is the most likely cause of this arrhythmia?
Myocardial infarction (heart attack)
The patient’s mother is concerned that this condition is hereditary. What is your response?
Only females are affected
We are uncertain