Charlie, a two-year-old boy, presents with his parents, who are concerned after he started developing areas of hypopigmentation on his torso and limbs.

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Charlie, a two-year-old boy, presents with his parents, who are concerned after he started developing areas of hypopigmentation on his torso and limbs. No-one else in the family has ever had a similar issue, and they have no idea as to what is causing this.

Charlie was born at full term via a planned caesarean section. He is known to have psychomotor developmental delay, strabismus and scoliosis. He also had corrective surgery soon after birth for congenital talipes equinovarus.