Tuberous Sclerosis in an Adult Patient. Case Report
Authors:
Z. Drlík 1,2,3
Authors‘ workplace:
Klinika chorob kožních a pohlavních, Lékařská fakulta, Univerzita Palackého Olomouc a Fakultní nemocnice Olomouc
1; Lékařská fakulta, Masarykova univerzita, Brno
2; Dermatologická ambulance Mohelnice
3
Published in:
Čes-slov Derm, 100, 2025, No. 3, p. 125-130
Category:
Case Reports
Overview
The author refers a case report of a 43-year-old female, who developed facial angiofibromas during childhood and later on periungual fibromas, nail changes as well as enamel pits and gingival fibromas. Genetic testing confirmed tuberous sclerosis. Subsequent thorough investigation revealed multi-organ involvement including cortical tubers. A brief overview of current knowledge about this complex syndrome is presented.
Keywords:
facial angiofibroma – periungual fibroma – enamel pits – cortical tubers – tuberous sclerosis complex
Sources
- ARREDONDO, K. H., JÜLICH, K., ROACH, E. S. Tuberous sclerosis complex: Diagnostic features, surveillance, and therapeutic strategies. Semin Pediatr Neurol, 2024, 51, 101155. doi:10.1016/j. spen.2024.101155.
- HAVLÍNOVÁ, A., KODET, O., PROCHÁZKOVÁ, I. et al. Klinický případ: Stroužkovité útvary periungválně. Stručný přehled. Čes-slov Derm, 2018, 93(5), p. 186–189.
- HUMHEJOVÁ, D. Tuberózní skleróza. Čes-slov Derm, 2016, 91(2), p. 43–60.
- ISLAM, M. P. Tuberous Sclerosis Complex. Semin Pediatr Neurol, 2021, 37, 100875. doi: 10.1016/j. spen.2021.100875.
- LI, Y., SI, Z., ZHAO, W. et al. Tuberous sclerosis complex: a case report and literature review. Ital J Pediatr, 2023, 49(1), p. 116. doi: 10.1186/s13052-02301490-z.
- LUO, C., YE, W. R., SHI, W. et al. Perfect match: mTOR inhibitors and tuberous sclerosis complex. Orphanet J Rare Dis, 2022, 17(1), p. 106. doi: 10.1186/ s13023-022-02266-0.
- MAN, A., DI SCIPIO, M., GREWAL, S. et al. The Genetics of Tuberous Sclerosis Complex and Related mTORopathies: Current Understanding and Future Directions. Genes, 2024, 15(3), p. 332. https://doi. org/10.3390/genes15030332.
- NORTHRUP, H., ARONOW, M. E, BEBIN, E. M. et al. International Tuberous Sclerosis Complex Consensus Group. Updated International Tuberous Sclerosis Complex Diagnostic Criteria and Surveillance and Management Recommendations. Pediatr Neurol, 2021,123, p. 50–66. doi: 10.1016/j.pediatrneurol.2021.07.011.
- NORTHRUP, H., KOENIG, M. K., PEARSON, D. A et al. Tuberous Sclerosis Complex. 1999 [Updated 2024]. In: Adam, M. P., Feldman, J., Mirzaa, G. M. et al., editors. GeneReviews [Internet]. Seattle (WA): University of Washington, Seattle; 1993–2024. Dostupné na www: https://www.ncbi.nlm.nih.gov/sites/ books/NBK1220/.
- PLÁZÁR, D., MEZNERICS, F. A., PÁLLA, S. et al. Dermoscopic Patterns of Genodermatoses: A Comprehensive Analysis. Biomedicines, 2023, 11(10), p. 2717. doi: 10.3390/biomedicines11102717.
- PREVITALI, R., PRONTERA, G., ALFEI, E. et al. Paradigm shift in the treatment of tuberous sclerosis: Effectiveness of everolimus. Pharmacol Res, 2023, 195, p. 106884. doi: 10.1016/j.phrs.2023.106884.
- SASONGKO, T. H., KADEMANE, K., CHAI SOON HOU, S. et al. Rapamycin and rapalogs for tuberous sclerosis complex. Cochrane Database Syst Rev, 2023, 7(7), CD011272. doi: 10.1002/14651858.CD011272.pub3.
- ZHANG, X., ZHONG, X., LIN, X. et al. Tuberous Sclerosis Complex With Multiple Organ Tumors: Case Report and Literature Review. Front Oncol, 2022, 12, p. 916016. doi: 10.3389/fonc.2022.916016.
Poděkování
Za konzultaci a laskavé poskytnutí obrazové dokumentace děkuji doc. MUDr. Stanislavu Buřvalovi, Ph.D., a doc. MUDr. Zbyňku Tüdösovi, Ph.D., z Radiologické kliniky FN Olomouc.
Prohlášení o střetu zájmů
Autor článku v souvislosti s tématem práce nespolupracoval s žádnou farmaceutickou firmou.
Do redakce došlo dne 17. 12. 2024.
Adresa pro korespondenci: MUDr. Zdeněk Drlík
Klinika chorob kožních a pohlavních
FN Olomouc Zdravotníků 248/7 779 00 Olomouc
e-mail: zdenek.drlik@fnol.cz
Labels
Dermatology & STDs Paediatric dermatology & STDsArticle was published in
Czech-Slovak Dermatology

2025 Issue 3
Most read in this issue
- During the Holidays, it is Necessary to Promote Dermatovenerology
- Cutaneous Malignancies in Organ Transplant Recipients
- Tuberous Sclerosis in an Adult Patient. Case Report
- Communication from the Working Group on Dermatoallergology and Occupational Dermatoses