Figure 4b. Rapid progression of macrodactyly and cerebriform connective-tissue nevus. (a) Anteroposterior radiograph of the right foot (same patient as in Fig 1), obtained at age 5 years, shows minimal overgrowth of bone. (b) Anteroposterior radiograph obtained 14 months later shows progressive overgrowth in the right foot; redundant lobulated plantar skin, characteristic of plantar cerebriform connective-tissue nevus (arrowheads); and macrodactyly of the right fifth toe, with a notched deformity in the midportion of the proximal phalanx (arrow).