Cc: seizure
Describe picture :
hypomelanotic macules
Diagnosis :
Tuberous sclerosis
Differential diagnosis :
Adult polycystic kidney disease
Area to examine :
Abdomen
• Large kidney
• Transplanted kidney
Look for fistula
Neuro
Lungs
Skin
• Adenoma sebaceum
• Shagreen patch
• Periungual fibroma
Remember:
Tuberous sclerosis is a differential diagnosis of ADPKD
