Ungual fibroma in 12-year-old boy with hypomelanotic macules, intellectual disability and attention deficit hyperactivity disorder-possible tuberous sclerosis.
OBJECTIVE
To report a case of a 12-year-old boy with intellectual disability and attention deficit hyperactivity disorder, who came to surgery for an examination due to a minor bulge on the left thumb, which had been growing for the previous month. His mother denied any trauma.


METHODS
After the removal of the clinically ambiguous bulge and a pathohistological confirmation that it was a periungual fibroma, complete patient analysis was performed due to the presence of hypomelanotic macules and a suspected tuberous sclerosis.


RESULTS
Considering the presence of hypomelanotic macules, as one of the main criteria, possible TS diagnosis was set.


CONCLUSIONS
Early detection of the symptoms of TS enables a timely provision of protocols for further patient monitoring, which affects the patient's morbidity and mortality.
Department of Pediatrics Surgery, University Hospital Centre Rijeka, Rijeka, Croatia.
Nedeljka
N
Glavan
Department of Psychiatry, University Hospital Centre Rijeka, Rijeka, Croatia.
Ivana
I
Ljubičić-Bistrović
Department of Pathology, School of Medicine, University of Rijeka, Rijeka, Croatia.
Blaženka
B
Grahovac
Department of Environmental Medicine, Medical Faculty, University of Rijeka, Rijeka, Croatia; Teaching Institute of Public Health, Rijeka, Croatia.
Luka
L
Traven
Health Center of Primorsko-Goranska County, Medical Faculty, University of Rijeka, Rijeka, Croatia.
Anton
A
Sasso
Department of Pathology, School of Medicine, University of Rijeka, Rijeka, Croatia.
Nives
N
Jonjić
Ungual fibroma; attention deficit hyperactivity disorders; hypomelanotic macules; intellectual disability; tuberous sclerosis