Tuberous Sclerosis. Presented by Dr. W. B. Reed.
A patient, age 55, is of normal mentality. The history is negative for epilepsy. Dermatological manifestations consist of (1) adenoma sebaceum since age 8 years; (2) shagreen patch of the lumbosacral area; (3) multiple ungual fibromas of hands and feet since "teen" age. Removal was followed by regrowth.Roentgenogram of the skull was negative for calcification. On removal of a right ectopic kidney multiple hamartomas (angiomyolipomas) were found. The right eye has a phakoma. A bone survey showed "pagetoid changes;" fibrous displacement in pelvic bones, and cortical hyperostosis of phalanges.The family history revealed that a sister, age 63, had ungual fibromas, but this was denied by the patient.Past history of "rickets" and congenital dislocation of hips treated in childhood.A patient, 4 years, has a history of slow mental development and 2 severe attacks of status epilepticus
METROPOLITAN DERMATOLOGICAL SOCIETY OF LOS ANGELES LOS ANGELES DERMATOLOGICAL SOCIETY. Arch Dermatol. 1962;85(1):142–147. doi:10.1001/archderm.1962.01590010148021