Challenge: What is the strange diagnosis here?
Related Questions:
1. What is shown in the first image?
2. What is shown in the second image?
Both images are in the public domain.
I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
3 comments:
von hippel lindau?
whoops - tuberous sclerosis
Nice job checking your answers! I always get VHL, tuberous sclerosis, and neurofibromatosis confused.
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Tumor
Tuberous sclerosis is an autosomal dominant neurocutaneous disorder with multiple benign neoplasms of the brain, eyes, heart, lung, liver, kidney, and skin. Vogt's triad of seizures, mental retardation, and facial angiofibromas is described here; however, the disease is very heterogeneous. The first image shows an angiofibroma, an erythematous papule made up of fibrous tissue. The second image shows a hypopigmented "ash leaf macule" with "confetti hypopigmentation" as scattered white spots around it. There are many diagnostic criteria, which will not be reviewed here.
Sources: UpToDate; nlm.nih.gov.
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