A 15-year-old girl presented with yellowish papules on the cheeks and nose. The papules, which first appeared at age 5 years, had become more prominent and profuse in the past 4 years. The patient had recurrent episodes of generalized tonic-clonic seizures from age 2 to 6 years but had been seizure-free since then. She had no headache, chest pain, shortness of breath, or hematuria. Her intelligence was normal. There was no family history of similar skin lesions or seizure disorder.
展开▼
