TWK Wong, JLF Fung, BHY Chung

Case History

Our propositus is a 15-year-old young gentleman who has ADHD and Asperger's syndrome. He has normal IQ with satisfactory school performance. Upon physical examination, he was found to have caf?au-lait spots all over the body and some freckles in axilla and inguinal areas. He also has some cutaneous and subcutaneous skin modules and the clinical diagnosis by dermatology is neurofibroma. MRI brain reveals two focal T1W isointense T2W hyperintense lesions up to 5 mm in size at bilateral basal ganglia. He is born from a non-consanguineous family with negative family history.

Figure 1 Clinical photos of the patient. (Consent for publication has been obtained)

The clinical quiz was prepared by:
TWK Wong
JLF Fung
BHY Chung

Department of Paediatrics & Adolescent Medicine, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong

N.B. The Editors invite contributions of illustrative clinical cases or materials to this section of the journal.