She did not smoke tobacco, drink alcohol, or use illicit drugs. Diffuse pink papules are present on the forehead, nose, cheeks, and chin (Panel A). An ulcer is present on the anterior upper gum ...

Angiofibromas, appear as red to pink papules with smooth glistening surfaces. Hypomelanotic macules have an unique confetti-like or "ash leaf" appearance. Shagreen patches are seen on the lumber ...

She did not smoke tobacco, drink alcohol, or use illicit drugs. Diffuse pink papules are present on the forehead, nose, cheeks, and chin (Panel A). An ulcer is present on the anterior upper gum ...