Tuberous Sclerosis Complex - The physical examination revealed erythematous papules on the chin, nose, and cheeks consistent with facial angiofibromas (Panel A) and small, fleshy periungual fibromas of the toenails (Panel B). #Clinical #Derm #PrimaryCare #FacialAngiofibromas #PeriungualFibromas #Fibromas #TuberousSclerosis #NEJM