Unusual location of fibrous plaque in Indonesian child with tuberosclerosis complex
Prastiya Indra Gunawan, Darto Saharso
The Pan African Medical Journal. 2017;28:92. doi:10.11604/pamj.2017.28.92.12652

Create an account  | Log in
PAMJ Conf Proceedings Supplement 2
"Better health through knowledge sharing and information dissemination "

Images in medicine

Unusual location of fibrous plaque in Indonesian child with tuberosclerosis complex

Cite this: The Pan African Medical Journal. 2017;28:92. doi:10.11604/pamj.2017.28.92.12652

Received: 02/05/2017 - Accepted: 17/09/2017 - Published: 29/09/2017

Key words: Tuberosclerosis, unusual location, fibrous plaque

© Prastiya Indra Gunawan et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/28/92/full

Corresponding author: Prastiya Indra Gunawan, Department of Child Health, Airlangga University, Soetomo Hospital, Surabaya, Indonesia (prastiya_ig@yahoo.co.id)


Unusual location of fibrous plaque in Indonesian child with tuberosclerosis complex

Prastiya Indra Gunawan1,&, Darto Saharso1

 

1Department of Child Health, Airlangga University, Soetomo Hospital, Surabaya, Indonesia

 

 

&Corresponding author
Prastiya Indra Gunawan, Department of Child Health, Airlangga University, Soetomo Hospital, Surabaya, Indonesia

 

 

Image in medicine    Down

Tuberosclerosis complex (TSC) is one of the most frequent genetic causes of epilepsy. A 3-year-old boy was reffered to Soetomo Hospital, Surabaya, Indonesia with chief complain of intractable seizures. The seizures were frequent and various in type. The skin present red dome shaped papules on face and smooth, firm, nodular or fleshy lesions referred to fibrous plaque on gum, right tarsal and right hallux region. Tarsal and hallux region were unusual skin collagenous fibroma area found in TSC. Five white macules with diameter 4-5mm were also found on the trunk. Electroencephalography resulted epileptiform discharges originating from left temporal posterior and right temporal. Head MRI showed multiple tubers at bilateral cortical-subortical fronto-temporo-parieto-occipital. The patient was diagnosed as tuberous sclerosis and received 3 types of anti epileptic seizure drugs (levetiracetam, carbamazepine and vigabatrin). The treatment resulted decrease of seizure frequency.

 

Figure 1: the unusual fibrous plaque in right tarsal and right hallux region

 

 

 

 

 

 

 

 

 

 

 

 

 

 


The Pan African Medical Journal articles are archived on Pubmed Central. Access PAMJ archives on PMC here

Volume 30 (May - August 2018)

Article tools

This article authors

On Pubmed
On Google Scholar

Navigate this article

Rate this article

Altmetric

PAMJ is a member of the Committee on Publication Ethics
Next abstract

PAMJ is published in collaboration with the African Field Epidemiology Network (AFENET)
Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, Ulrichsweb, More to come . Member of COPE.

ISSN: 1937-8688. © 2018 - Pan African Medical Journal. All rights reserved