Noonan Syndrome with multiple lentigines, previously called LEOPARD syndrome is a rare multi-organ disease. A 18 years old lady presented with hundreds of dark spots all over the body, with deafness, hypertelorism and cardiomyopathy. Clinically she was labelled as NSML. She had also presented with graying of all scalp hairs for 2 years. Please add your opinion in this regard.