This is the finger of a patient with epilepsy.

   a. What does the picture show?

   b. How is this condition inherited?

   c. What other skin signs may be present?

   d. What eye signs may be present?

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Answers:
This is the finger of a patient with epilepsy.

 a. What does the picture show?

Periungual fibroma in a aptient with tuberous sclerosis.


 b. How is this condition inherited?

Autosomal dominant with incomplete penetrance.
 c. What other skin signs may be present?
    • Adenoma sebaceous (papules on the face)
    • Ash-leaf lesions (areas of macular hypopigmentation)
    • Shagreen patches (plaques of thickened connective tissue)


 d. What eye signs may be present?

Retinal and optic nerve head tumours mainly astrocytoma.
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