case_images: PMC11322118_01
case_images: Phenotype of a 22-year-old male patient with tuberous sclerosis. (A) Phototype V, at frontal-level euchromatic nodules, soft smooth surface about angiofibroma. In the middle facial third, papules smaller than 5 mm in diameter, smooth euchromatic and violaceous surface, regular distribution on nasal dorsum and bilateral malar region in relation with angiofibromas. (B) Hairy skin left temporo-occipital region: exophytic tumor, well-defined irregular borders, smooth surface with convolutions, not ulcerated, size 4 cm by 3 cm. (C) Hairy skin right temporo-occipital region: exophytic tumors, well defined, irregular borders, smooth surface with convolutions, not ulcerated, size 5 cm by 3 cm and 2.5 cm by 1.5 cm, respectively.
case_images: fmed-11-1386089-g001.jpg
case_images: PMC11322118_01_fmed-11-1386089-g001.jpg
case_images: fig1
case_images: The skin and integumentary system exhibited multiple elevated lesions without inflammatory changes, which were not painful and compatible with angiofibromas located on the face and head (Figure 1).
case_images: Bilateral renal ultrasound. Parenchyma displays multiple small rounded echogenic images distributed throughout, with sizes ranging between 12.5 mm, 10 mm, 7 mm, 5 mm, and 4 mm.
case_images: fmed-11-1386089-g002.jpg
case_images: PMC11322118_01_fmed-11-1386089-g002.jpg
case_images: fig2
case_images: The renal ultrasound showed bilateral renal involvement with multiple rounded masses of variable size (ranging between 12.5 mm and 4 mm) at the parenchymal level, characteristic of angiomyolipomas (Figure 2).
case_images: Two-dimensional echocardiography of the patient, showing an apical four-chamber view. The red arrows indicate several homogeneous masses with well-defined borders, retractile and without pedicles, affecting the entire interventricular septum and apical region. The largest mass, located closer to the interventricular septum, measures approximately 14 mm x 11 mm.
case_images: fmed-11-1386089-g003.jpg
case_images: PMC11322118_01_fmed-11-1386089-g003.jpg
case_images: fig3
case_images: These masses were retractile, with mobility toward the ventricular wall, consistent with cardiac rhabdomyomas (Figure 3).