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Further evaluated mucocutaneous features included molluscoid pseudotumors, easy bruising, subcutaneous spheroids, inguinal, umbilical, and incisional hernia, keloid formation, gingival inflammation/recession, livedo reticularis, keratosis pilaris/hyperkeratosis of extensor surfaces, xerosis, striae distensae/rubrae, resistance to local anesthetic drugs, acquired cutis laxa/premature skin aging, piezogenic papules of the heels, abnormalities of the uvula, absent/short lingual frenulum, and light blue sclerae