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- 1From: JAAPA-Journal of the American Academy of Physicians Assistants. (Vol. 26, Issue 2) Peer-Reviewed* CASE A 13-year-old male with a history of neurofibromatosis type 1 (NF-1) presented to his pediatrician with right lower leg pain. Initial radiographs of the right tibia and fibula were negative (Figure 1)....