neuro cutaneous markers

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neuro cutaneous markers

  1. 1. NEUROCUTANEOUSNEUROCUTANEOUS MARKERSMARKERS Dr.Ashok.R.Wadhwani
  2. 2. NEUROCUTANEOUS SYNDROMES This is a group of genetic disorders, also known as the phakomatoses,which produces a variety of developmental abnormalities that frequently involve skin, along with an increased risk of nervous system tumors. These disorders are inherited as autosomal dominant conditions .
  3. 3. Tuberous sclerosis Adenoma sebaceum. Ash leaf spots. Subungual and gingival fibromas. Shagreen patches. Fibrous plaques on the forehead.
  4. 4. ADENOMA SEBACEUM:MULTIPLE ANGIFIBROMAS OF THE FACE .ERYTHEMATOUS PAPULES ON THE LOWER HALF OF FACE-CHEEKS,NASOLABIAL FOLDS,SIDES OF THE NOSE AND CHIN.
  5. 5. ADENOMA SEBACEUM
  6. 6. ASH LEAF SPOTS. Hypopigmented macules. The average size is 1 to 3 cm, and the common shapes are oval, polygonal, and lance-ovate, whereas the less common shapes are dermatomal and confettilike.
  7. 7. Ash leaf spots. "confetti" macules. Multiple, discrete, small, confetti-like, hypopigmented macules of variable size on the leg.
  8. 8. Detection of ash leaf spots may require Wood's lamp examination(UVA), especially in fair-skinned individuals. An ash leaf spot on the scalp will result in poliosis, which is a circumscribed patch of gray-white hair.
  9. 9. SUBUNGUAL FIBROMA.
  10. 10. SUBUNGUAL FIBROMA.
  11. 11. GINGIVAL FIBROMA.
  12. 12. SHAGREEN PATCH- Leathery plaques of subepidermal fibrosis,usually situated on the trunk.
  13. 13. SHAGREEN PATCH.
  14. 14. VON RECKLING-HAUSEN’S DISEASE (NF-1)  CAFÉ AU LAIT SPOTS.  AXILLARY FRECKLING.
  15. 15. CAFÉ AU LAIT SPOTS. PIGMENTED MACULES(>1 CM) ON THE TRUNK. PLEMIFORM NEUROMA SEEN.
  16. 16. Several larger (>1.0 cm) cafe-au-lait macules on the upper chest and multiple small macules in the axillae (axillary "freckling")
  17. 17. STURGE WEBER SYNDROME  CAPILLARY HAEMANGIOMA.

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