Search our Database of Scientific Publications and Authors

I’m looking for a

    124 results match your criteria Fibrous Papule of the Face

    1 OF 3

    Bilateral Giant Renal Angiomyolipoma in a Patient with Tuberous Sclerosis Complex: A Case Report.
    Acta Med Indones 2018 Jan;50(1):61-65
    Department of Surgery, Wahidin Sudirohusodo Hospital, Makassar, Indonesia.
    Tuberous sclerosis complex (TSC) has several renal manifestations including angiomyolipomas (AML) and renal epithelial neoplasms. A bilateral giant renal AML is extremely rare. We report a case of giant bilateral AML and discuss the diagnosis and treatment of it. Read More

    Masses of the Nose, Nasal Cavity, and Nasopharynx in Children.
    Radiographics 2017 Oct;37(6):1704-1730
    From the Department of Radiology, Nationwide Children's Hospital, 700 Children's Dr, Columbus, OH 43205 (D.P.R.); and Department of Radiology, Cincinnati Children's Hospital, Cincinnati, Ohio (E.S.O., B.L.K.).
    A wide range of masses develop in the nose, nasal cavity, and nasopharynx in children. These lesions may arise from the nasal ala or other structures of the nose, including the mucosa covering any surface of the nasal cavity, the cartilaginous or osseous portion of the nasal septum, the nasal turbinates, and the nasal bones. Lesions may also arise from the nasopharynx or adjacent structures and involve the nose by way of direct extension. Read More

    Tuberous Sclerosis Complex in 29 Children: Clinical and Genetic Analysis and Facial Angiofibroma Responses to Topical Sirolimus.
    Pediatr Dermatol 2017 Sep 2;34(5):572-577. Epub 2017 Aug 2.
    Department of Dermatology, Beijing Children's Hospital, Capital Medical University, Beijing, China.
    Background/objectives: Tuberous sclerosis complex (TSC) is a genetic disorder and facial angiofibromas are disfiguring facial lesions. The aim of this study was to analyze the clinical and genetic features of TSC and to assess the treatment of facial angiofibromas using topical sirolimus in Chinese children.

    Methods: Information was collected on 29 patients with TSC. Read More

    Reflectance confocal microscopy features of facial angiofibromas.
    Dermatol Pract Concept 2017 Jan 31;7(1):51-54. Epub 2017 Jan 31.
    Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, USA.
    Facial angiofibromas are benign tumors presenting as firm, dome-shaped, flesh-colored to pink papules, typically on the nose and adjoining central face. Clinically and dermoscopically they can mimic melanocytic nevi or basal cell carcinomas (BCC). Reflectance confocal microscopy (RCM) is a noninvasive imaging tool that is useful in diagnosing melanocytic and non-melanocytic facial lesions. Read More

    Histochemical and immunohistochemical differences between solitary oral fibroma and fibrous papule of the face.
    An Bras Dermatol 2016 Sep-Oct;91(5):589-594
    Universidade Federal da Bahia (UFBA) - Salvador (BA), Brazil.
    Background:: The morphological similarities between fibrous papules of the face and multiple sporadic oral fibromas were mentioned long ago and a relationship between them has been reported in the literature.

    Objective:: The aim of this study was to evaluate the participation of mast cells, elastin and collagen in a series of oral fibromas and fibrous papules of the face in order to better understand the possible role of these factors in fibrosis and the formation of these lesions.

    Methods:: Thirty cases of oral fibroma involving the buccal mucosa and 30 cases of fibrous papules of the face were selected. Read More

    Bilateral blindness following anterior nasal packing in a case of nasopharyngeal angiofibroma.
    J Laryngol Otol 2016 Nov;130(11):1072-1073
    ENT Department,All India Institute of Medical Sciences,Bhubaneswar,Odisha,India.
    Background: Epistaxis is the most common ENT emergency encountered in the Emergency Department. Most cases can be managed by simple anterior nasal packing. This is usually a safe and very effective option in an emergency situation, requiring minimal expertise and infrastructure. Read More

    Tuberous Sclerosis with Severe Cutaneous Manifestation and Multiples Facial Angiofibromas.
    Head Neck Pathol 2016 Dec 2;10(4):542-546. Epub 2016 May 2.
    Department of Clinic and Surgery, Area Stomatology, Alfenas Federal University, Alfenas, Minas Gerais, Brazil.
    Tuberous sclerosis is an extremely variable disease that can affect virtually any organ in the body. The most common findings are cutaneous manifestations, that are critical features in helping to establish diagnosis. We present a case of young man with diagnosis of tuberous sclerosis presenting multiple shagreen patches around the trunk, in the neck and genital region; large plaques with uneven surfaces on the right side of the lower back; and multiple papular lesions in his face, particularly around the nasolabial region, eyebrows and forehead. Read More

    Topical sirolimus for the treatment of angiofibromas in tuberous sclerosis.
    Indian J Dermatol Venereol Leprol 2017 Jan-Feb;83(1):27-32
    Department of Pediatric Neurology, Erciyes University Faculty of Medicine, Kayseri, Turkey.
    Background: The skin is one of the most affected organs in tuberous sclerosis complex and angiofibromas are seen in almost 80% of such patients. These benign tumors impose a great psycho-social burden on patients.

    Objective: The aim of the study was to evaluate the effectiveness and tolerability of topical sirolimus for facial angiofibromas in patients with tuberous sclerosis complex. Read More

    Avoiding allogenic blood transfusions in endoscopic angiofibroma surgery.
    J Otolaryngol Head Neck Surg 2016 Apr 11;45:25. Epub 2016 Apr 11.
    Division of Otolaryngology, University of Cape Town, Cape Town, South Africa.
    Background: Surgical approaches for many tumours are often limited by blood loss, exposure and risk to vital anatomical structures. Therefore, the standard of care for certain skull base tumours has become endoscopic transnasal resection. Other surgical disciplines often use cell salvage techniques, but review of the otolaryngology literature revealed very few case reports. Read More

    Tuberous sclerosis: histological analysis with confocal laser scanning microscope of gingival angiofibromatosis.
    Pathologica 2015 Sep-Dec;107(3-4):197-200
    Introduction: Tuberous sclerosis (TS) is an autosomal dominant neuro-cutaneous syndrome characterized by multiple hamartomas in various organs, especially on skin and central nervous system. The most common features of TS include facial angiofibromas, hypomelanotic cutaneous macules, shagreen patches in the lumbar area, cerebral cortical tubers, sub-ependymal nodules, sub-ependymal giant cell astrocytomas, cardiac rhabdomyomas, and renal angiomyolipomas. Frequently oral manifestations such as fibrous hyperplasia, angiofibromas and dental enamel pitting are also observed. Read More

    A fibrous papule with abundant CD34-immunoreactive ganglion-like multinucleated giant cells: a case report and review of the literature.
    Dermatol Online J 2015 Jul 15;21(7). Epub 2015 Jul 15.
    Stanford University School of Medicine.
    Fibrous papules present clinically as benign, asymptomatic, dome-shaped, flesh colored papules on the face. Histologically, fibrous papules are characterized by fibrous stroma with fibroblasts and dilated blood vessels. Multiple variants of fibrous papules have been reported. Read More

    Inhibition of Angiofibromas in a Tuberous Sclerosis Patient Using Topical Timolol 0.5% Gel.
    Pediatrics 2015 Sep;136(3):e709-13
    Angiofibromas are the most recognized cutaneous manifestations of tuberous sclerosis complex. Angiofibromas can be associated with disfigurement, bleeding, pruritus, and erythema and may lead to significant psychosocial consequences for affected patients. Histopathologically, angiofibromas consist of a mixture of vascular and interstitial cells. Read More

    Stage III nasopharyngeal angiofibroma: Improving results with endoscopic-assisted midfacial degloving and modification to the Fisch staging system.
    J Craniomaxillofac Surg 2015 Oct 31;43(8):1678-83. Epub 2015 Jul 31.
    Department of Neurosurgery, (Head of Dept: Prof. Sanjay Behari), Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, 226014, India.
    Objectives: To study outcomes with endoscopic-assisted midfacial degloving for Fisch stage III nasopharyngeal angiofibroma and propose a new staging system.

    Design: Retrospective study of patients with Fisch stage III juvenile nasopharyngeal angiofibroma (JNA) including preoperative angiography, intraoperative blood loss and residue/recurrence following surgery.

    Setting: Tertiary care superspecialty referral center. Read More

    Juvenile Nasopharyngeal Angiofibroma: Case report with review on role of imaging in diagnosis.
    Contemp Clin Dent 2015 Jan-Mar;6(1):98-102
    Department of Radio Diagnosis, GB Pant Hospital, New Delhi, India.
    Juvenile nasopharyngeal angiofibroma is a locally aggressive benign vascular neoplasm, composed of vasogenic and myofibroblastic elements, accounts for 0.05-0.5% of all the head and neck neoplasms. Read More

    Laser treatment of angiofibromas in tuberous sclerosis.
    Minerva Pediatr 2014 Dec;66(6):585-6
    Department of Plastic and Reconstructive Surgery Policlinico di Modena, University of Modena & Reggio Emilia, Italy -
    Tuberous sclerosis complex is an autosomal dominant disorder that can cause nonmalignant hamartomas in any organ. Angiofibromas are the most disturbing marker of the disease because they are conspicuously present on the face. We report the case of a 15-year-old girl affected by tuberous sclerosis, whose facial angiofibromas were satisfactorily treated by a green light vascular laser (532 nm). Read More

    Topical everolimus for facial angiofibromas in the tuberous sclerosis complex. A first case report.
    Pediatr Neurol 2014 Jul 1;51(1):109-13. Epub 2014 Mar 1.
    Hospital Pharmacy, University Hospital Basel, University of Basel, Basel, Switzerland.
    Background: Facial angiofibromas are present in most of the patients with the tuberous sclerosis complex and may cause severe disfiguration of the face. The tumor growth in tuberous sclerosis complex is promoted by the disinhibition of the mammalian target of rapamycin pathway. Thus, the systemic treatment with mammalian target of rapamycin inhibitors such as sirolimus and everolimus has recently been established to treat specific tuberous sclerosis complex-associated lesions. Read More

    Scalp fibroma: a rare cutaneous manifestation of tuberous sclerosis.
    BMJ Case Rep 2014 Apr 19;2014. Epub 2014 Apr 19.
    Department of Neurology, S M S Medical College, Jaipur, Rajasthan, India.
    We report a case of a 23-year-old woman with a history of generalised tonic-clonic seizures, reddish brown maculopapular swelling over the face and an enlarging swelling over the scalp. Physical examinations revealed angiofibroma of the face and other typical cutaneous lesions of tuberous sclerosis, for example, shagreen patch and periungual fibroma. Scalp swelling was labelled as fibroma by dermatologists, which was further supported by the histopathological findings. Read More

    [Atypical histiocytoma in a child].
    Ann Dermatol Venereol 2014 Apr 17;141(4):279-84. Epub 2014 Feb 17.
    Service de dermatologie, hôpital de l'Archet 2, 151, route de Saint-Antoine, 06200 Nice, France.
    Background: Histiocytoma (HC) is a very common benign tumour generally seen in the lower limbs of adults, particularly women. There are, however, atypical forms of HC that behave like locally aggressive tumours, occasionally with relapse or even metastasis. Herein we report a case of locally aggressive HC in a child, which, on account of its clinical extension, required seven surgical procedures to achieve complete excision. Read More

    Bilateral juvenile nasopharyngeal angiofibroma: report of a case.
    Int Forum Allergy Rhinol 2014 Jul 24;4(7):603-6. Epub 2014 Mar 24.
    Department of Head and Neck Surgery, University of California, Los Angeles (UCLA) Medical Center, Los Angeles, CA.
    Background: Juvenile nasopharyngeal angiofibroma (JNA) is the most common benign neoplasm of the nasopharynx. Almost always unilateral on diagnosis, JNAs are locally invasive and may extend across the midline, giving a false bilateral appearance; as such, true bilateral JNA is exceedingly rare. We present a recent case of true bilateral JNA. Read More

    Fibrous papule of the face, similar to tuberous sclerosis complex-associated angiofibroma, shows activation of the mammalian target of rapamycin pathway: evidence for a novel therapeutic strategy?
    PLoS One 2014 18;9(2):e89467. Epub 2014 Feb 18.
    Department of Pathology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan ; Department of Pathology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
    Fibrous papules of the face are hamartomas characterized by stellate-shaped stromal cells, multinucleated giant cells, and proliferative blood vessels in the dermis. The pathogenesis of fibrous papules remains unclear. There is a striking microscopic resemblance between fibrous papules and tuberous sclerosis complex (TSC)-associated angiofibromas. Read More

    Rhinophyma in tuberous sclerosis complex: case report with brief review of literature.
    GMS Interdiscip Plast Reconstr Surg DGPW 2014 27;3:Doc12. Epub 2014 Nov 27.
    Institute of Neuropathology, Eppendorf University Hospital, University of Hamburg, Germany.
    Tuberous sclerosis or tuberous sclerosis complex (TSC) is an autosomal dominant inherited disease characterized by the triad epilepsy, hamartomas (angiofibroma) and reduced intellectual capacity. Phenotype can vary considerably. Almost all patients with TSC have at least one characteristic dermatologic feature. Read More

    [Fibrous papules of the face: a retrospective anatomoclinical study of 283 cases].
    Ann Dermatol Venereol 2013 Dec 17;140(12):763-70. Epub 2013 Oct 17.
    Service de dermatologie, hôpital civil, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France. Electronic address:
    Background: Fibrous papules of the face are frequent benign lesions seen in the nasal and perinasal region. Their clinical aspect is indistinct and the histological signs are sometimes mild or possibly misleading in the case of atypical forms. We carried out a retrospective study of 283 fibrous papules diagnosed at our histology laboratory. Read More

    Tuberous sclerosis complex diagnosed from oral lesions.
    Sao Paulo Med J 2013 ;131(5):351-5
    Universidade Estadual de Montes Claros, Postgraduate Program on Health Sciences, Montes ClarosMinas GeraisBrazil.
    Context: Tuberous sclerosis complex (TSC) is a genetic disease in the group known as neurocutaneous syndromes, with dominant autosomal inheritance. It is characterized by skin and adnexal lesions and central and peripheral nervous system tumors, with neurological and psychiatric findings. It may affect the heart, kidneys, eyes, face, bones, lungs, stomach and dentition. Read More

    [Medical indications for laser therapy in dermatology].
    Ned Tijdschr Geneeskd 2013 ;157(44):A6662
    Sint Franciscus Gasthuis, afd. Dermatologie, Rotterdam.
    Laser therapy in dermatology is often associated with cosmetic procedures. However, nowadays laser therapy has become a treatment modality for many dermatological diseases. We present three cases of patients with different dermatological diseases that are highly therapy-resistant. Read More

    [Clinical effect of Le Fort I osteotomy approach associated with endoscope for the resection of juvenile nasopharyngeal angiofibroma].
    Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2013 Mar;48(3):191-4
    Department of Otorhinolaryngology, First Hospital of China Medical University, Shenyang 110001, China.
    Objective: To analyze the clinical effect of Le Fort I osteotomy approach associated with endoscope for the resection of juvenile nasopharyngeal angiofibroma.

    Methods: Three patients with juvenile nasopharyngeal angiofibroma, stage II b, were retrospectively analyzed. All of them underwent Le Fort I osteotomy approach associated with endoscope between 2004 and 2009. Read More

    Current options for the treatment of facial angiofibromas.
    Actas Dermosifiliogr 2014 Jul-Aug;105(6):558-68. Epub 2013 Mar 21.
    Servicio de Dermatología, Hospital Universitario Reina Sofía, Córdoba, España.
    Facial angiofibromas are hamartomatous growths that are closely associated with tuberous sclerosis complex and, in fact, they constitute one of the main diagnostic criteria for that disease. These lesions composed of blood vessels and fibrous tissue appear on the face at an early age. Since they have important physical and psychological repercussions for patients, several treatment options have been used to remove them or improve their appearance. Read More

    Histopathologic proof for the origin of ectopic cilia of the eyelid skin.
    Graefes Arch Clin Exp Ophthalmol 2013 Mar 22;251(3):985-8. Epub 2012 Dec 22.
    David G Cogan Laboratory of Ophthalmic Pathology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles Street - 3rd Floor, Boston, MA 02114, USA.
    Background: The origin of congenitally displaced cilia of the eyelid margin remains a controversial subject.

    Methods: Case report with literature review. The clinical, surgical, and histopathologic findings of the current and published cases were used to determine the location of the generative hair bulbs of ectopic cilia. Read More

    Treatment and prognosis of nasopharyngeal angiofibroma involving the eye and optic nerve.
    J Laryngol Otol 2012 Nov 4;126(11):1108-13. Epub 2012 Sep 4.
    Department of ENT, Otolaryngology Institute of Fujian Province, First Affiliated Hospital, Fujian Medical University, Fuzhou, People's Republic of China.
    Objective: To discuss the minimally invasive treatment and prognosis of juvenile nasopharyngeal angiofibroma involving the eye and optic nerve.

    Methods: Retrospective analysis of clinical data for 18 large juvenile nasopharyngeal angiofibromas, with reports of three typical cases.

    Results: The tumour invaded the orbit, eye, optic nerve and optic chiasm in 18, 9, 8 and 5 patients, respectively. Read More

    Topical rapamycin therapy to alleviate the cutaneous manifestations of tuberous sclerosis complex: a double-blind, randomized, controlled trial to evaluate the safety and efficacy of topically applied rapamycin.
    Drugs R D 2012 Sep;12(3):121-6
    Division of Child Adolescent Neurology, Department of Pediatrics, University of Texas Medical School at Houston, Houston, TX 77030, USA.
    Background And Objectives: Facial angiofibromas are disfiguring facial lesions, present in up to 80% of patients with tuberous sclerosis complex. Recent elucidation of the complex cell signaling pathways that are disrupted in tuberous sclerosis indicates that rapamycin may be successful in alleviating the appearance of these lesions. The objectives of the current study were to evaluate the safety of topically applied rapamycin in patients with tuberous sclerosis complex and to determine its potential effectiveness in treatment of facial angiofibromas. Read More

    Extranasopharyngeal angiofibroma: clinical and radiological presentation.
    Eur Arch Otorhinolaryngol 2013 Feb 15;270(2):655-60. Epub 2012 May 15.
    Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Ul. Jaczewskiego 8, 20-954 Lublin, Poland.
    Nasopharyngeal angiofibroma (NA) is a rare, vascular tumor affecting adolescent males. Due to aggressive local growth, skull base location and risk of profound hemorrhage, NA is a challenge for surgeons. Angiofibromas have been sporadically described in extanasopharyngeal locations. Read More

    Multiple facial angiofibromas treated with high-frequency equipment.
    An Bras Dermatol 2011 Jul-Aug;86(4 Suppl 1):S186-9
    Serviço de Cirurgia Plástica e Microcirurgia Reconstrutiva, Hospital Universitário Walter Cantídio, Universidade Federal do Ceará, Fortaleza, CE, Brasil.
    Tuberous sclerosis is a rare genetic disease with autosomal dominant inheritance, associated with multiple hamartomas in several organs, such as the brain, skin, lung, kidney, heart and eyes. The authors of this study report a case of a 30 years old female patient with tuberous sclerosis, presenting multiple angiofibromas on face treated with high frequency equipment (radiofrequency), and discuss the therapeutic options for treatment of individuals with extensive cutaneous involvement in tuberous sclerosis. Read More

    Trigeminocardiac reflex during the percutaneous injection of ethylene vinyl alcohol copolymer (Onyx) into a juvenile nasopharyngeal angiofibroma: a report of two cases.
    J Neurointerv Surg 2011 Sep 16;3(3):263-5. Epub 2010 Dec 16.
    Department of Interventional Neuroradiology, University of Michigan, Ann Arbor, Michigan, USA.
    The trigeminocardiac reflex (TCR) is a rare but well-described phenomenon encountered during invasive procedures involving the face, orbit, and cranial base. The reflex is characterized by the abrupt onset of hypotension, bradycardia, asystole, and dysrhythmias. With temporary cessation of the surgical procedure, vital signs typically stabilize without the need for further investigation, though anticholinergic drugs are often used to prevent prolonged hypotension and bradycardia. Read More

    Sustained clinical effectiveness and favorable safety profile of topical sirolimus for tuberous sclerosis - associated facial angiofibroma.
    J Eur Acad Dermatol Venereol 2012 Oct 11;26(10):1315-8. Epub 2011 Aug 11.
    Departments of Dermatology and Pharmacy, Reina Sofía University Hospital, Córdoba, Spain.
    Background: Tuberous sclerosis complex (TSC) is an autosomal dominant neurocutaneous disorder characterized by the development of multisystem hamartomatous tumours. Facial angiofibroma appears in up to 80% of patients and has a considerable psychological impact. Various invasive procedures have been used, although they show limited effectiveness and potential adverse effects. Read More

    A case of perifollicular fibroma.
    Ann Dermatol 2011 May 27;23(2):236-8. Epub 2011 May 27.
    Department of Dermatology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
    Perifollicular fibroma (PFF) is a very rare proliferative lesion of the perifollicular sheath. A flesh-colored, dome-shaped papulonodule is usually located on the face or the neck. These papulonodules may be single or multiple. Read More

    Comparison of two approaches to the surgical management of juvenile nasopharyngeal angiofibroma stages I and II.
    J Otolaryngol Head Neck Surg 2011 Feb;40(1):14-8
    Department of Otolaryngology, The First Affiliated Hospital, College of Medicine, Zhe Jiang University, Hang Zhou, PR China.
    Objective: Our study was designed to compare two surgical approaches that are currently employed in the treatment of nasopharyngeal angiofibroma stages I and II.

    Study Design: Retrospective chart review to compare outcomes in 11 patients who underwent endoscopic resection with outcomes of transpalatal excision in 13 patients with juvenile nasopharyngeal angiofibroma (JNA) at our department between 1992 and 2008.

    Setting: Academic otorhinolaryngologic referral centre. Read More

    [The modified rhinotomy for treatment of tumors involving skull base].
    Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2010 Apr;24(7):301-3
    Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital Affiliated to Capital Medical University, Ministry of Education, Beijing, China.
    Objective: To introduction the clinical application and surgical technique of the modified rhinotomy for treatment of skull base neoplasms.

    Method: The diagnosis and surgical outcome of 20 patients with skull base neoplasms were reviewed retrospectively.

    Result: All the cases were involvement with nasal cavity, ethmoidal sinus, sphenoidal sinus and medial wall of orbit. Read More

    Solitary oral fibromas of the tongue show similar morphologic features to fibrous papule of the face: a study of 31 cases.
    Am J Dermatopathol 2010 Jul;32(5):442-7
    Service of Cellular Pathology, Clinica Ponferrada, Avenida Galicia 1, Ponferrada, Spain.
    The morphologic similarities between fibrous papules of the face and multiple oral fibromas were mentioned long ago, mainly in the context of phakomatoses. Both lesions have been considered to be different types of angiofibromas. Nonetheless, this interpretation is not accepted by all authors. Read More

    Transnasal endoscopic skull base surgery: what are the limits?
    Curr Opin Otolaryngol Head Neck Surg 2010 Feb;18(1):1-7
    Department of Otolaryngology, Head and Neck Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA.
    Purpose Of Review: Endoscopic skull base surgery has significantly revolutionized the management of skull base disease. Our review focuses on the recent literature relating to endoscopic skull base surgery emphasizing its limitations.

    Recent Findings: Current literature continues to expand the indications for endoscopic approaches to the skull base. Read More

    Autopsy findings in a case of tuberous sclerosis.
    J Forensic Leg Med 2009 Aug 25;16(6):357-61. Epub 2009 Feb 25.
    Dept. of Forensic Medicine, Calicut Medical College, Calicut-8, Kozhikode, Kerala 673004, India.
    Tuberous sclerosis is a neurocutaneous disorder with autosomal dominant inheritance. It is characterized by the triad of seizures, mental retardation, angiofibromas of the face though the triad is not always complete. We incidentally encountered a case of tuberous sclerosis in a case of hanging. Read More

    1 OF 3