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A 14-year-old girl is brought to the clinic for a routine well-child visit. The girl has been healthy, and her only concern is that she has not yet had a menstrual period. Most of her friends have undergone menarche, and she wants to know when she will start menstruating. She wears corrective glasses for myopia. Her father is 190. 5 cm (6 ft 3 in) tall, and her mother is 183 cm (6 ft) tall. On examination, the patient's height and weight are at the 5th and 55th percentiles, respectively. Blood pressure is 140/90 mm Hg in the right upper arm and 90/40 mm Hg in the lower extremities. Multiple pigmented nevi are scattered on the face and chest. Which of the following complications is this patient most at risk of developing?
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