Diagnosis: Tuberous sclerosis
Description: Ash leaf macule.
Morphology: Papules,skin coloured
Site: Chest
Sex: M
Age: 57
Type: Clinical
Submitted By: Nameer Al-Sudany
Differential DiagnosisHistory: A 57-year-old man with normal mentality presented with all cutaneous features of tuberous sclerosis. These included; facial angiofibromas (adenoma sebaceum), connective tissue nevi (shagrren patches), ash leaf hypopigmented macule, acrochordons (skin tags) and periungual fibromas. The later manifestation was seen subungually.