Tuberous sclerosis
 

The patient has adenoma sebaceum (which is usually distributed in a butterfly pattern over the central face) and  subungual fibroma. Other lesions which may be present (usually on the trunk) are shagreen patches (these are  localized thickening of the skin with a rough surface) and ash-leaf patches (hypopigmented areas which are best seen with Wood's light ie. ultraviolet light). Further examination: mention you like to examine the fundus for astrocytic hamartoma (the patients may have profound mental  retardation making fundal examination difficult). Return to the main page

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

subungual fibroma Return to the top

 
 
 
 

Shagreen patches Return to the top