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White Epidermal Nevi at Birth in a Patient with Tuberous Sclerosis

Authors

  • Capt. Amanda L. Elam M.D.,

    Corresponding author
    1. San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, San Antonio, Texas
    • Address correspondence to Capt. Amanda Elam, San Antonio Uniformed Services Health Education Consortium, 3851 Roger Brooke Drive, #3600, Fort Sam Houston, TX 78234, or e-mail: amanda.elam@us.af.mil

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  • Maj. Patrick E. McCleskey M.D., FAAD

    1. Dermatology Services, David Grant Medical Center, Travis Air Force Base, Fairfield, California
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  • The views expressed in this material are those of the authors and do not reflect the official policy or position of the U.S. government, the Department of Defense, or the Department of the Air Force. The authors were full-time federal employees at the time this work was completed; it is in the public domain.

Abstract

We report a neonate who presented at birth with multiple, scattered, white macerated plaques. Punch biopsy confirmed epidermal nevi. At 3 months of age the patient presented with infantile spasms and, after full evaluation, was diagnosed with tuberous sclerosis complex (TSC). We suggest that physicians consider TSC in a neonate with epidermal nevi inconsistent with any described epidermal nevus syndrome.

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