Children (Sep 2023)

Uncommon Large and Bilateral Fibrous Cephalic Plaques in a Patient with <i>TSC2</i>-Related Tuberous Sclerosis Complex

  • Ariadna González-del Angel,
  • Adriana Ruiz-Herrera,
  • Nancy Leticia Hernández-Martínez,
  • Carlos G. Todd-Quiñones,
  • Carola Durán-McKinster,
  • Patricia Herrera-Mora,
  • Miguel Angel Alcántara-Ortigoza

DOI
https://doi.org/10.3390/children10101614
Journal volume & issue
Vol. 10, no. 10
p. 1614

Abstract

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Tuberous sclerosis complex (TSC) is a genetic disorder, frequently characterized by early dermatological manifestations. The recognition and adequate description of these dermatological manifestations are of utmost importance for early diagnosis, allowing for the implementation of therapeutic and preventive measures. Fibrous cephalic plaques (FCPs) are considered a major diagnostic criterion for TSC, as FCPs are the most specific skin lesions of TSC. The localization, consistency, color, and size of FCPs vary widely, which can cause diagnostic delay, especially in patients with atypical presentations. The present report describes a female TSC patient with a confirmed heterozygous pathogenic genotype, NG_005895.1 (TSC2_v001): c.2640-1G>T, who presented with uncommon large and bilateral FCPs causing bilateral ptosis and marked with hyperostosis of the diploe that generated an asymmetry of the brain parenchyma. Differential diagnoses considered initially in this patient due to the atypical FCPs are described.

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