Tuberous sclerosis complex: Angiofibroma vipula/proliferanza?

Tuberous sclerosis complex (TSC) represents a genetic disorder of hamartoma formation in many organs; particularly the skin, brain, eye, kidney, and heart. We are reporting a case of TSC in a patient and his daughter. The interesting feature is the appearance of the facial angiofibromas in this patient. In this patient, there was a sudden spurt in growth of these lesions in the last 7 months at the age of 50 years giving an appearance of nodular growth, misleading the diagnosis. The lesion was biopsied to know any secondary changes had occurred. There is no mention in the literature regarding such a rapid growth or any secondary changes occurring in angiofibromas. Neither the biopsy revealed any secondary changes. Hence, this interesting phenomenon has been reported. Is it apt to call it as "ANGIOFIBROMA PROLIFERANZA" or "ANGIOFIBROMA VIPULA"? (The word VIPULA in local South Indian Kannada language is prolific growth). [ABSTRACT FROM AUTHOR]