An Unusual Cutaneous Presentation of Tuberous Sclerosis with Normal Neurological Function

Abstract

Tuberous Sclerosis Complex (TSC) is a rare neuro-cutaneous disorder characterized by the presence of hamartomas in multiple organ systems. The diagnosis is based on established major and minor clinical criteria. Cutaneous manifestations play a crucial role in early recognition. Here, we present a rare case of a 6-year-old male with fibrous hamartoma of the abdominal wall and other cutaneous signs but without any neurological symptoms, an uncommon presentation of TSC. This case highlights the necessity of considering TSC in pediatric patients with unusual subcutaneous masses and characteristic skin lesions, even in the absence of neurological deficits. A multidisciplinary approach, including dermatological, radiological, and genetic evaluations, is essential for accurate diagnosis and long-term management.