Case (12)

[Muna1]

A 19-year-old man is admitted following a generalised seizure. He has no past medical history of note but on examination it is noted that he has three patches of hypopigmented skin and fibromata under two of his finger nails. What is the most likely diagnosis?

[Diagnostic]

I think it's Tuberous sclerosis.

It is a rare, multi-system genetic disease that causes benign tumours to grow in the brain and on other vital organs such as the kidneys, heart, eyes, lungs, and skin.

The patient may present with convulsions, hypomelanic macules and it's skin manifestations include Ungual or subungual fibromas (fibromas under nails).

So Convulsion + Hypopigmented patches + Subungual fibromas is pathognomonic to Tuberous sclerosis.
Diagnostic

[Muna1]

excellent
that is the correct answer 

[Admin]

Congratulations
The 15 points of this case goes to Diagnostic
Dr.Mahdi