case_images: PMC9731334_01
case_images: Clinical symptoms. (A) Enlarged right arm; (B, C) unhealing ulcer; (D) adenoma sebaceous; (E) depigmented macule; (F) gingiva; (G) periungal fibromas.
case_images: fonc-12-1007651-g002.jpg
case_images: PMC9731334_01_fonc-12-1007651-g002.jpg
case_images: f2
case_images: A 20-year-old man presented to our institution, complaining that the right upper limb was much thicker than the left from birth, along with the enlargement of his left index finger and middle finger ( Figures 2A-C ). Meanwhile, there were sebaceous adenomas on the back, depigmented macules on the face, and fibromas under the nail bed (periungual fibromas) and gingiva ( Figures 2D-G ).
case_images: Medical imaging results. (A) Nodules showed on the head CT; (B) lymphangioleiomyomatosis on the chest CT and bone cysts in the different regions; (C) lymphangioleiomyomatosis on the chest CT and bone cysts in the different regions.
case_images: fonc-12-1007651-g003.jpg
case_images: PMC9731334_01_fonc-12-1007651-g003.jpg
case_images: f3
case_images: The head CT revealed subependymal, cortical, and subcortical nodules ( Figure 3A ). Meanwhile, we found lymphangioleiomyomatosis on the chest CT, focal sclerosis, and bone cysts in multiple bone regions such as the spine ( Figures 3B, C ).