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Background: Tuberous sclerosis complex (TSC) is a rare autosomal-dominant disorder involving multiple organs including skin, brain, heart, lung, kidney and liver. It usually occurs as early as birth or even in utero, with rare cases diagnosed in their adulthood. Here, we present a rare adult case of TSC presenting as periungual fibromas (PF).

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  • Fibroma ossificans are generally well-defined but not often encapsulated tumors, presenting challenges for treatment choices in maxillofacial surgery.
  • A case involving a 17-year-old woman with a 6-year-old mandibular swelling revealed a benign tumor, confirmed by imaging and histological examination, leading to successful surgical resection and reconstruction.
  • The report highlights the importance of considering clinical and radiological features in managing ossifying fibroids, as treatment can be invasive.
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  • A 47-year-old woman with a history of drug-resistant epilepsy was admitted to the emergency department due to sudden shortness of breath and chest pain, revealing low oxygen levels and signs of pulmonary issues.
  • Imaging tests showed cystic lung lesions consistent with lymphangioleiomyomatosis and a collapsed lung, which was treated with a chest tube.
  • Further examinations identified skin and kidney tumors related to angiomyolipoma, confirmed through biopsy, and genetic testing led to a diagnosis that prompted treatment with everolimus and dexamethasone.
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Family physicians are well-positioned to provide injections for patients who have pain due to hand and finger conditions, especially when initial treatments such as splinting and nonsteroidal anti-inflammatory drugs are ineffective. Corticosteroid injections can offer pain relief; however, potential risks such as infection, cartilage damage, and skin depigmentation should be discussed. Techniques and procedures for injections vary.

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  • - Neurofibromatosis type I (NF1) is a genetic disorder that causes benign tumors along nerves, impacting patients' skin and vision, and poses management challenges in areas with limited resources.
  • - A 62-year-old woman with NF1 experienced progressive vision loss due to eyelid tumors, which were confirmed as benign nerve tissue upon examination.
  • - Effective management in resource-limited settings relied on regular monitoring, patient education, and multidisciplinary care, highlighting the necessity of adaptable approaches to improve patient outcomes and prevent complications like visual impairment.
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