A 16-year-old patient, born from a first degree consanguineous marriage

A 16-year-old patient, born from a first degree consanguineous marriage, with no particular pathological antecedents, the patient reports appearance for 9 years of cutaneous lesions described as a swellings in the posterior face of the 2 elbows and the anterior surface of the 2 knees, painless, firm, and gradually increasing in volume. What is your diagnosis?

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  1. Xanthelasma
  2. Gouty tophus
  3. Neurofibroma
  4. Lichen planus