“…Multiple localizations in adults have been associated with some diseases such as neurofibromatosis and Hodgkin's lymphoma ( 4 ), and in children, they have been associated with cryptorchidism, pulmonary stenosis, congenital heart disease, or Noonan syndrome ( 14 ). Noonan syndrome is part of a group of diseases called RASopathies , characterized by genetic mutations in RAS proteins, that play an important role in cell differentiation and development, comprising Noonan syndrome and neurofibromatosis, Legius syndrome, and Costello syndrome and Leopard (PTPN1 gene mutation) ( 5 , 15 ). Extracutaneous localization may affect the mammary gland, mediastinum, thyroid, larynx and trachea, lungs, ovary, testicle, heart, digestive tract, urinary tract, and rarely the central nervous system, but the central nervous system has the most severe clinical manifestations ( 1 ).…”