Tuberous sclerosis: a case report
Ahmed Bouhamidi, Mohammed Boui
Corresponding author: Ahmed Bouhamidi, Military Hospital of Instruction Mohammed V, Department of Dermatology, Rabat, Morocco
Received: 18 Jan 2018 - Accepted: 26 Jan 2018 - Published: 07 Feb 2018
Domain: Dermatology,Neurology (general),Neuroradiology
Keywords: Tuberous sclerosis, Bourneville´s disease, angiofibromas
©Ahmed Bouhamidi et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Ahmed Bouhamidi et al. Tuberous sclerosis: a case report. Pan African Medical Journal. 2018;29:102. [doi: 10.11604/pamj.2018.29.102.14905]
Available online at: https://www.panafrican-med-journal.com//content/article/29/102/full
Tuberous sclerosis: a case report
Ahmed Bouhamidi1,&, Mohammed Boui1
1Military Hospital of Instruction Mohammed V, Department of Dermatology, Rabat, Morocco
&Corresponding author
Ahmed Bouhamidi, Military Hospital of Instruction Mohammed V, Department of Dermatology, Rabat, Morocco
An 11-year-old girl, from a consanguineous family. With history of suspected akinetic seizures and normal intelligence. Physical examination revealed several small-scattered facial angiofibromas that were histologically determined by skin biopsy. Hypomelanotic macules, shagreen patches on her back. Periungual fibromas were not seen. CT brain showed multiple calcified sub ependymal nodules and cortical tubers. Cardiological consult and ECG were normal. Neurological consult shows: normal status of conscience, without meningeal signs of irritation, cranial nerves without deficit, and no ataxia. No hamartomas or retinal achromic patches was noticed by ophthalmologic evaluation. Radiography of the chest, truncal CT was without abnormality. So with the above clinical findings, a diagnosis of Tuberous sclerosis was made, and the patient is under regular monitoring. Tuberous Sclerosis, also known as Bourneville's disease, is an autosomal dominant syndrome with variable clinical expression. The dermatologist plays an essential role in the history of the disease, since skin manifestations represent the most prevalent clinical features, enabling early diagnosis and intervention in its natural course.
Figure 1: (A) several facial angiofibromas; (B) hypomelanotic macules and shagreen patches; (C,D) CT brain with multiple calcified sub-ependymal nodules and cortical tubers