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Read MoreNeurofibromatosis-Noonan Syndrome (NFNS) is a rare RASopathy resulting from a variant NF1 gene mutation, characterized by a combination of features from both Neurofibromatosis type 1 (NF1) and Noonan Syndrome (NS). We present a case of a 9-year-old boy who exhibited learning difficulties, multiple café-au-lait macules, and genitourinary concerns.