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Cutaneous hamartoma in tuberous sclerosis - Orange peel sign on magnetic resonance imaging
*For correspondence: madhoo116@gmail.com
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This article was originally published by Wolters Kluwer - Medknow and was migrated to Scientific Scholar after the change of Publisher.
A 28 yr old male† musician was referred by the department of Plastic Surgery to the department of Radiology, Christian Medical College & Hospital, Vellore, India, in November 2018, for magnetic resonance imaging (MRI) of a progressive painless swelling at the nape of the neck since the age of six years. There was associated itching and discharge. On local examination, there was a firm non-tender lobulated swelling in the nape of the neck with hyperpigmentation, skin hypertrophy and irregular corrugated surface with scanty foul smelling whitish discharge (Fig. 1). Multiple Shagreen's patches (Fig. 2) were noted in the lower back and thigh. A clinical diagnosis of tuberous sclerosis was made. MRI of the neck was done to assess the extent of the nape of neck swelling. In addition, MRI of the brain was done to look for other findings of tuberous sclerosis (Figs 3 and 4). The patient underwent excision of the neck lesion with skin grafting. Histopathology revealed folliculosebaceous and cystic hamartoma, a rare cutaneous manifestation of tuberous sclerosis. There was no recurrence at six month follow up.
Acknowledgment:
Authors acknowledge Dr Aparna Irdoi, department of Radiology, CMC, Vellore, for helping in diagnosis for helping in diagnosis.
Conflicts of Interest: None.