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This 17-year-old mentally retarded girl had tonic- clonic seizures since childhood.

143. tuberous sclerosis

A hereditary condition transmitted in an autosomal dominant fashion with variable expressivity. Shown in the image are thepathognomonic facial angiofibromas (adenoma sebaceum) that occur in about 50% of these patients.

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Source:  OpenStax, Images of memorable cases: 50 years at the bedside. OpenStax CNX. Dec 08, 2008 Download for free at http://cnx.org/content/col10449/1.7
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