Annals of African Medicine
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CASE REPORT
Year : 2010  |  Volume : 9  |  Issue : 2  |  Page : 95-101

Misdiagnosis of tuberous sclerosis in a Nigerian girl: A case report and review of literature


University of Benin Teaching Hospital, Benin City, Nigeria

Correspondence Address:
Ogunrin A Olubunmi
Department of Medicine, P.M.B. 1154, University of Benin, Benin City
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1596-3519.64754

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Tuberous sclerosis is a rare neuro-cutaneous syndrome, one of the phakomatosis, characterized by facial angiofibromas (adenoma sebaceum), mental retardation and epilepsy. This classic triad occurs in less than one half of patients, probably in one-third, thus requiring a high index of suspicion to diagnose. Consequently it may easily be misdiagnosed as neurofibromatosis or other medical conditions. This is a case report of tuberous sclerosis in a 13-year-old Nigerian girl that was misdiagnosed as neurofibromatosis because of her cutaneous lesions. This paper discussed the case and reviewed the literature. A comprehensive medical clerkship, thorough physical examination, high index of clinical suspicion and neuroimaging investigations are required to confirm diagnosis.


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