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Fracture or Not: An Easily Mistaken Benign Finding in a Tuberous Sclerosis Patient

Curēus (Palo Alto, CA), 2024-03, Vol.16 (3), p.e57142 [Peer Reviewed Journal]

Copyright © 2024, Padival et al. ;Copyright © 2024, Padival et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;ISSN: 2168-8184 ;EISSN: 2168-8184 ;DOI: 10.7759/cureus.57142 ;PMID: 38681355

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  • Title:
    Fracture or Not: An Easily Mistaken Benign Finding in a Tuberous Sclerosis Patient
  • Author: Padival, Sana ; Montgomery, Tyler P ; Oestreich, Alan E ; Banks, James
  • Subjects: Edema ; Foreign bodies ; Fractures ; Patients ; Skin ; Trauma ; Tuberous sclerosis
  • Is Part Of: Curēus (Palo Alto, CA), 2024-03, Vol.16 (3), p.e57142
  • Description: Tuberous sclerosis (TSC) is a rare autosomal dominant disorder that can affect multiple organ systems, including the brain, heart, lungs, and skin. Cutaneous manifestations are common, including ungual fibromas, however, these may be mistaken for other pathologies. Here, we present the case of a 14-year-old with TSC complaining of traumatic left little finger pain. Radiographic evaluation revealed cortical scalloping of the nailbed, concerning for a non-displaced fracture. Given the history of TSC, however, this defect may have also represented a periungual fibroma. The patient subsequently underwent conservative management and an eight-month radiographic follow-up showed no osseous remodeling, supporting the diagnosis of periungual fibroma. It is imperative for clinicians to understand the cutaneous manifestations of TSC to aid in proper diagnosis and avoidance of unnecessary treatment. In this case, interval follow-up confirmed the diagnosis and excluded fracture.
  • Publisher: United States: Cureus Inc
  • Language: English
  • Identifier: ISSN: 2168-8184
    EISSN: 2168-8184
    DOI: 10.7759/cureus.57142
    PMID: 38681355
  • Source: PubMed Central
    ProQuest Central
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