A 13-year-old boy had progressive pigmentary changes affecting his lim
bs which began when he was 9 months of age. He also had a history of c
afe au lait macules on his trunk since birth which were becoming more
numerous. The diagnosis of reticulate acropigmentation of Dohi (dyschr
omatosis symmetrica hereditaria) and neurofibromatosis type 1 (NF-I) w
as made on the basis of the clinical features. To our knowledge, this
is the first report of these two conditions occurring in the same pati
ent.