Tuberous sclerosis physical examination

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Skin

Images of the nail shown below are courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology

The skin is examined under a Wood's lamp. The most common skin abnormalities include:

  • Facial angiofibromas
  • Ungual or subungual fibromas
  • Hypomelanic macules ("ash leaf spots")
  • Forehead plaques
  • Shagreen patches
  • Molluscum fibrosum or skin tags
  • Cafe-au-lait spots or flat brown marks
  • Poliosis
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