PMC5006295_01
Hypomelanic macules ("ash leaf spots") as white or lighter patches of skin on the (a) back and (b) forearm.
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ADHD. A month before visiting our clinic, the mother noticed skin lesions formed in the form of minor, light skin areas on the chest, which were expanding to the torso and upper arms (Figure 1).
(a) Ungual fibromas on the thumb, (b) histological examination shows epidermal acanthosis and hyperkeratosis with expanded dermis, (c) a large number of dermal capillaries and (d) spindled cells embedded in haphazardly arranged collagen bundles in the dermis with no mitotic figures were seen.
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Pathohistological analysis suggested the diagnosis of periungual fibroma (Figure 2), which was followed by the complete patient analysis due to suspected TS.
PMC5006295_02
(a) Ungual fibromas on the thumb, (b) histological examination shows epidermal acanthosis and hyperkeratosis with expanded dermis, (c) a large number of dermal capillaries and (d) spindled cells embedded in haphazardly arranged collagen bundles in the dermis with no mitotic figures were seen.
10.1177_2050313X16666233-fig2.jpg
PMC5006295_02_10.1177_2050313X16666233-fig2.jpg
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Pathohistological analysis suggested the diagnosis of periungual fibroma (Figure 2), which was followed by the complete patient analysis due to suspected TS.