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Miscellanea
Images in paediatrics
Tuberous sclerosis and cutaneous stigmata: ever-expanding spectrum
  1. Priyanka Madaan1,
  2. Lokesh Saini1,
  3. Naveen Sankhyan1,
  4. Dipankar De2,
  5. Shivan Kesavan1,
  6. Swetlana Mukherjee1,
  7. Kim Vaiphei3,
  8. Chirag K Ahuja4
  1. 1 Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India
  2. 2 Dermatology, Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India
  3. 3 Histopathology, Post graduate Institute of Medical Education and Research, Chandigarh, India
  4. 4 Neuroradiology, Post graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Lokesh Saini, Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India; drlokeshsaini{at}gmail.com

http://dx.doi.org/10.1136/archdischild-2019-317218

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    An 18-month-old boy presented with a swelling on his back, global developmental delay, and seizures. At birth, he had a tuft of hair on his left lower back which developed into an ill-defined, doughy plaque with patchy hyperpigmentation and hypopigmentation, prominent follicular openings (‘goose-like’ appearance), comedo-like plugs and cysts (figure 1A,B). The child also had a large hypopigmented patch (giant ashleaf macule; figure 1C,D) on the left anterior abdomen and back. Gradually, the patch increased in size and progressed to involve the …

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    Footnotes

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Not required.