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LETTER TO EDITOR
Year : 1991  |  Volume : 57  |  Issue : 3  |  Page : 159

Giant verrucous angiofibroma arising from Shagreen patch in tuberous sclerosis




Correspondence Address:
S Balachandra


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How to cite this article:
Balachandra S, Ramnarayan K, Rao P, Srinivas C R. Giant verrucous angiofibroma arising from Shagreen patch in tuberous sclerosis. Indian J Dermatol Venereol Leprol 1991;57:159

How to cite this URL:
Balachandra S, Ramnarayan K, Rao P, Srinivas C R. Giant verrucous angiofibroma arising from Shagreen patch in tuberous sclerosis. Indian J Dermatol Venereol Leprol [serial online] 1991 [cited 2019 Oct 18];57:159. Available from: http://www.ijdvl.com/text.asp?1991/57/3/159/3660


To the Editor,

A six-year-old boy born to non consanguineous parents presented with classi­cal features of tuberous sclerosis like adenoma sebaceum, ash leaf macules, sub ungual fibromas and shagreen patches. The patient in addition had a giant angiofibroma with verrucous surface arising from a shagreen patch over and abdomen. [Figure - 1]

The boy was of average intelligence and there was no history of epilepsy. The elder two siblings were normal. Systemic examina­tion revealed no abnormality. Routine investi­gations were within normal limits. The diag­nosis of angiofibroma was confirmed histo­logically from the lesion in abdomen. Elevated plaque lesion resembling pig skin, called shagreen patch may vary in size from 1 to 8 cm and are commonly found in lumbosacral area though it can also be found in other ar­eas.[1] Angiofibromas are red to pink nodules of 1 to 10 mm with smooth surface usually located in a bilaterally symmetrical distribution in the nasolabial folds, checks, chain and sometimes in the forehead and scalp.[1],[2] Large verrucous angiofibroma arising from a shagreen patch in the abdomen is very rare.

For cosmetic reasons angiofibromas can be treated by cryosurgery, electro desiccation and curettage or dermabrasion. Total excision of the verrucous lesion was done in our pa­tient with no recurrence for a follow up of two years though surgical removal is often unsat­isfactory.[1]

 
  References Top

1.Hurwitz S : The skin and systemic dlseQaC, !n Clinical Paediatric dermatology, First ed, Editor, Hurwitz S : WB Saunders Company, Philadelphia, 1981, PP 384-434.  Back to cited text no. 1    
2.Burton JL and Rook A : Genetics in dermatology, in : Text book of dermatology, Fourth ed, Editors, Rook A, Wilkinson DS, Ebling FJG et al : Oxford University Press, Bombay, 1987; PP 105-166.  Back to cited text no. 2    


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