Glavan N, Ljubičić-Bistrović I, Grahovac B, Traven L, Sasso A, Jonjić N. Ungual fibroma in 12-year-old boy with hypomelanotic macules, intellectual disability and attention deficit hyperactivity disorder-possible tuberous sclerosis.
SAGE Open Med Case Rep 2016;
4:2050313X16666233. [PMID:
27621808 PMCID:
PMC5006295 DOI:
10.1177/2050313x16666233]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2016] [Accepted: 07/26/2016] [Indexed: 11/15/2022] Open
Abstract
Objective:
To report a case of a 12-year-old boy with intellectual disability and attention deficit hyperactivity disorder, who came to surgery for an examination due to a minor bulge on the left thumb, which had been growing for the previous month. His mother denied any trauma.
Methods:
After the removal of the clinically ambiguous bulge and a pathohistological confirmation that it was a periungual fibroma, complete patient analysis was performed due to the presence of hypomelanotic macules and a suspected tuberous sclerosis.
Results:
Considering the presence of hypomelanotic macules, as one of the main criteria, possible TS diagnosis was set.
Conclusion:
Early detection of the symptoms of TS enables a timely provision of protocols for further patient monitoring, which affects the patient’s morbidity and mortality.
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