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Published in: Skeletal Radiology 9/2017

01-09-2017 | Case Report

Tuberous sclerosis and its rare association with macrodactyly and fibrous hamartomas

Authors: Y. S. Lim, M. S. Mak, P. C. Mohan

Published in: Skeletal Radiology | Issue 9/2017

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Abstract

Tuberous sclerosis complex is a genetic disease that results in abnormal cellular proliferation and hamartoma growths in multiple organ systems. However, macrodactyly and subcutaneous fibrous harmatomas are very uncommon associations with this disease. We see these rare manifestations in our case report of a 16-year-old female with tuberous sclerosis complex and discuss the imaging findings and pathogenetics of these manifestations. Through this, our report aims to expand the known clinical spectrum of features seen in tuberous sclerosis and aid in its diagnosis.
Literature
1.
go back to reference Webb DW, Clarke A, Fryer A, Osborne JP. The cutaneous features of tuberous sclerosis: a population study. Br J Dermatol. 1996;135:1.CrossRefPubMed Webb DW, Clarke A, Fryer A, Osborne JP. The cutaneous features of tuberous sclerosis: a population study. Br J Dermatol. 1996;135:1.CrossRefPubMed
2.
go back to reference Yates JR, Maclean C, Higgins JN, et al. The tuberous sclerosis 2000 study: presentation, initial assessments and implications for diagnosis and management. Arch dis Child. 2011;96:1020.CrossRefPubMed Yates JR, Maclean C, Higgins JN, et al. The tuberous sclerosis 2000 study: presentation, initial assessments and implications for diagnosis and management. Arch dis Child. 2011;96:1020.CrossRefPubMed
3.
go back to reference Sharma S, Sankhyan N, Gulati S, et al. Macrodactyly and fibrous hamartoma in a child with tuberous sclerosis complex. J Child Neurol. 2011;26:95–8.CrossRefPubMed Sharma S, Sankhyan N, Gulati S, et al. Macrodactyly and fibrous hamartoma in a child with tuberous sclerosis complex. J Child Neurol. 2011;26:95–8.CrossRefPubMed
4.
go back to reference Lew PP, Ngai SS, Hamidi R, et al. Imaging of disorders affecting the bone and skin. Radiographics. 2014;34(1):197–216.CrossRefPubMed Lew PP, Ngai SS, Hamidi R, et al. Imaging of disorders affecting the bone and skin. Radiographics. 2014;34(1):197–216.CrossRefPubMed
6.
go back to reference Sahoo B, Handa S, Kumar B. Tuberous sclerosis with macrodactyly. Pediatr Dermatol. 2000;17:463–5.CrossRefPubMed Sahoo B, Handa S, Kumar B. Tuberous sclerosis with macrodactyly. Pediatr Dermatol. 2000;17:463–5.CrossRefPubMed
7.
go back to reference Aldrich CS, Hong CH, Groves L, Olsen C, Moss J, Darling TN. Acral lesions in tuberous sclerosis complex: insights into pathogenesis. J Am Acad Dermatol. 2010;63(2):244–51. Aldrich CS, Hong CH, Groves L, Olsen C, Moss J, Darling TN. Acral lesions in tuberous sclerosis complex: insights into pathogenesis. J Am Acad Dermatol. 2010;63(2):244–51.
8.
go back to reference Ghalli FE. Macrodactyly in tuberous sclerosis. Pediatr Dermatol. 2001;18(4):364–5. Ghalli FE. Macrodactyly in tuberous sclerosis. Pediatr Dermatol. 2001;18(4):364–5.
9.
go back to reference Sasongko TH, Ismail NFD, Nik Mohd Ariff NAM, Zabidi-Hussin ZAMH. Macrodactyly and poliosis in tuberous sclerosis complex. Jpn J Clin Oncol. 2014;44(11):1130 Sasongko TH, Ismail NFD, Nik Mohd Ariff NAM, Zabidi-Hussin ZAMH. Macrodactyly and poliosis in tuberous sclerosis complex. Jpn J Clin Oncol. 2014;44(11):1130
10.
go back to reference Shin AY, Garay AA. Unilateral insensate macrodactyly secondary to tuberous sclerosis in a child. Am J Orthop (Belle Mead NJ). 1997;26(1):30–2. Shin AY, Garay AA. Unilateral insensate macrodactyly secondary to tuberous sclerosis in a child. Am J Orthop (Belle Mead NJ). 1997;26(1):30–2.
11.
go back to reference Tung HE, Shih SL. Tuberous sclerosis with rare presentation of macrodactyly. Pediatr Radiol. 2009;39(8):878. Tung HE, Shih SL. Tuberous sclerosis with rare presentation of macrodactyly. Pediatr Radiol. 2009;39(8):878.
12.
go back to reference Kousseff BG. Tuberous sclerosis and macrodactyly. Dysmorph Clin Genet. 1989;3:5–7. Kousseff BG. Tuberous sclerosis and macrodactyly. Dysmorph Clin Genet. 1989;3:5–7.
13.
go back to reference Ortonne J-P, Jeune R, Fulton R, Thiovolet J. Primary localised gigantism and tuberous sclerosis. Arch Dermatol. 1982;118:878–9. Ortonne J-P, Jeune R, Fulton R, Thiovolet J. Primary localised gigantism and tuberous sclerosis. Arch Dermatol. 1982;118:878–9.
14.
go back to reference Wallis CE, Beighton PH. Tuberous sclerosis with macrodactyly. Dysmorph Clin Genet. 1989;3:2–4. Wallis CE, Beighton PH. Tuberous sclerosis with macrodactyly. Dysmorph Clin Genet. 1989;3:2–4.
15.
go back to reference Zaremba J. Tuberous sclerosis: a clinical and genetic investigation. J Ment Defic Res. 1968;12:63–80. Zaremba J. Tuberous sclerosis: a clinical and genetic investigation. J Ment Defic Res. 1968;12:63–80.
17.
go back to reference Luttrell LM, Daaka Y, Lefkowitz RJ. Regulation of tyrosine kinase cascades by G-protein-coupled receptors. Curr Opin Cell Biol. 1999;11:177.CrossRefPubMed Luttrell LM, Daaka Y, Lefkowitz RJ. Regulation of tyrosine kinase cascades by G-protein-coupled receptors. Curr Opin Cell Biol. 1999;11:177.CrossRefPubMed
18.
go back to reference Tee AR, Fingar DC, Manning BD, et al. Tuberous sclerosis complex-1 and -2 gene products function together to inhibit mammalian target of rapamycin (mTOR)-mediated downstream signaling. Proc Natl Acad Sci USA. 2002;99:13571.CrossRefPubMedPubMedCentral Tee AR, Fingar DC, Manning BD, et al. Tuberous sclerosis complex-1 and -2 gene products function together to inhibit mammalian target of rapamycin (mTOR)-mediated downstream signaling. Proc Natl Acad Sci USA. 2002;99:13571.CrossRefPubMedPubMedCentral
19.
go back to reference Benvenuto G, Li S, Brown SJ, et al. The tuberous sclerosis-1 (TSC1) gene product hamartin suppresses cell growth and augments the expression of the TSC2 product tuberin by inhibiting its ubiquitination. Oncogene. 2000;19:6306.CrossRefPubMed Benvenuto G, Li S, Brown SJ, et al. The tuberous sclerosis-1 (TSC1) gene product hamartin suppresses cell growth and augments the expression of the TSC2 product tuberin by inhibiting its ubiquitination. Oncogene. 2000;19:6306.CrossRefPubMed
20.
go back to reference Wienecke R, König A, DeClue JE. Identification of tuberin, the tuberous sclerosis-2 product. Tuberin possesses specific Rap1GAP activity. J Biol Chem. 1995;270:16409.CrossRefPubMed Wienecke R, König A, DeClue JE. Identification of tuberin, the tuberous sclerosis-2 product. Tuberin possesses specific Rap1GAP activity. J Biol Chem. 1995;270:16409.CrossRefPubMed
21.
go back to reference Gao X, Zhang Y, Arrazola P, et al. Tsc tumour suppressor proteins antagonize amino-acid-TOR signalling. Nat Cell Biol. 2002;4:699.CrossRefPubMed Gao X, Zhang Y, Arrazola P, et al. Tsc tumour suppressor proteins antagonize amino-acid-TOR signalling. Nat Cell Biol. 2002;4:699.CrossRefPubMed
22.
go back to reference Han H, Lim G, You C. A large infiltrating fibrous hamartoma of infancy in the abdominal wall with rare associated tuberous sclerosis. Pediatr Radiol. 2009;39:743–6.CrossRefPubMed Han H, Lim G, You C. A large infiltrating fibrous hamartoma of infancy in the abdominal wall with rare associated tuberous sclerosis. Pediatr Radiol. 2009;39:743–6.CrossRefPubMed
Metadata
Title
Tuberous sclerosis and its rare association with macrodactyly and fibrous hamartomas
Authors
Y. S. Lim
M. S. Mak
P. C. Mohan
Publication date
01-09-2017
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 9/2017
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-017-2683-9

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