Ash leaf spots!

Leaves of ash trees are oval shaped with pointed tips and serrated margins.
Ash leaves


Hypopigmented macules appear over the skin surface of most Tuberous Sclerosis patients. 
As these macules resemble the leaves of an ash tree, they are also called ‘Ash leaf spots’.

Click to see real images of ash leaf spots on the skin surface of affected children.
    Image 1     Image 2

Click to learn about other causes of hypopigmented macules:
 A case study with picture quiz

Tuberous sclerosis is a rare genetic disorder that features a triad of 
neurologic impairment,multisystem hamartomas, and skin findings.

The underlying genetics is a mutation in either TSC1 gene, which produces a protein called hamartin (or) TSC2 gene, which produces a protein called tuberin.

The mutations can be inherited in an autosomal dominant fashion or appear spontaneously as new (sporadic) mutations.

A case study:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3703063/

Get introduced to TS Alliance, a community that supports and cares for individuals affected with Tuberous Sclerosis.

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