Unusual location of fibrous plaque in Indonesian child with tuberosclerosis complex

Tuberosclerosis complex (TSC) is one of the most frequent genetic causes of epilepsy. A 3-year-old boy was reffered to Soetomo Hospital, Surabaya, Indonesia with chief complain of intractable seizures. The seizures were frequent and various in type. The skin present red dome shaped papules on face a...

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Main Authors: Prastiya Indra Gunawan, Darto Saharso
Format: Article
Language:English
Published: The Pan African Medical Journal 2017-09-01
Series:The Pan African Medical Journal
Subjects:
Online Access: https://www.panafrican-med-journal.com/content/article/28/92/pdf/92.pdf
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author Prastiya Indra Gunawan
Darto Saharso
author_facet Prastiya Indra Gunawan
Darto Saharso
author_sort Prastiya Indra Gunawan
collection DOAJ
description Tuberosclerosis complex (TSC) is one of the most frequent genetic causes of epilepsy. A 3-year-old boy was reffered to Soetomo Hospital, Surabaya, Indonesia with chief complain of intractable seizures. The seizures were frequent and various in type. The skin present red dome shaped papules on face and smooth, firm, nodular or fleshy lesions referred to fibrous plaque on gum, right tarsal and right hallux region. Tarsal and hallux region were unusual skin collagenous fibroma area found in TSC. Five white macules with diameter 4-5mm were also found on the trunk. Electroencephalography resulted epileptiform discharges originating from left temporal posterior and right temporal. Head MRI showed multiple tubers at bilateral cortical-subortical fronto-temporo-parieto-occipital. The patient was diagnosed as tuberous sclerosis and received 3 types of anti epileptic seizure drugs (levetiracetam, carbamazepine and vigabatrin). The treatment resulted decrease of seizure frequency.
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spelling doaj.art-5e24126995d64d90aa50dea950d151242022-12-21T20:00:11ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882017-09-01289210.11604/pamj.2017.28.92.1265212652Unusual location of fibrous plaque in Indonesian child with tuberosclerosis complexPrastiya Indra Gunawan0Darto Saharso1 Department of Child Health, Airlangga University, Soetomo Hospital, Surabaya, Indonesia Department of Child Health, Airlangga University, Soetomo Hospital, Surabaya, Indonesia Tuberosclerosis complex (TSC) is one of the most frequent genetic causes of epilepsy. A 3-year-old boy was reffered to Soetomo Hospital, Surabaya, Indonesia with chief complain of intractable seizures. The seizures were frequent and various in type. The skin present red dome shaped papules on face and smooth, firm, nodular or fleshy lesions referred to fibrous plaque on gum, right tarsal and right hallux region. Tarsal and hallux region were unusual skin collagenous fibroma area found in TSC. Five white macules with diameter 4-5mm were also found on the trunk. Electroencephalography resulted epileptiform discharges originating from left temporal posterior and right temporal. Head MRI showed multiple tubers at bilateral cortical-subortical fronto-temporo-parieto-occipital. The patient was diagnosed as tuberous sclerosis and received 3 types of anti epileptic seizure drugs (levetiracetam, carbamazepine and vigabatrin). The treatment resulted decrease of seizure frequency. https://www.panafrican-med-journal.com/content/article/28/92/pdf/92.pdf tuberosclerosisunusual locationfibrous plaque
spellingShingle Prastiya Indra Gunawan
Darto Saharso
Unusual location of fibrous plaque in Indonesian child with tuberosclerosis complex
The Pan African Medical Journal
tuberosclerosis
unusual location
fibrous plaque
title Unusual location of fibrous plaque in Indonesian child with tuberosclerosis complex
title_full Unusual location of fibrous plaque in Indonesian child with tuberosclerosis complex
title_fullStr Unusual location of fibrous plaque in Indonesian child with tuberosclerosis complex
title_full_unstemmed Unusual location of fibrous plaque in Indonesian child with tuberosclerosis complex
title_short Unusual location of fibrous plaque in Indonesian child with tuberosclerosis complex
title_sort unusual location of fibrous plaque in indonesian child with tuberosclerosis complex
topic tuberosclerosis
unusual location
fibrous plaque
url https://www.panafrican-med-journal.com/content/article/28/92/pdf/92.pdf
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