Adenoma sebaceum

Adenoma sebaceum, also known as facial angiofibroma is a misnamed cutaneous disorder consisting of angiofibromas that begin in childhood (generally present between 2–5 years of age) and appear clinically as red papules on the face especially on the nasolabial folds, cheek and chin,[1]: 195  often misidentified as acne not responding to treatment.

[3] Cosmetic removal by argon or pulse dye laser or scalpel is indicated.

Adenoma sebaceum are several tiny, pinkish, erythematous hamartomas that cover the nose and cheeks in a distinctive butterfly pattern during early childhood or infancy.

[6] Adenoma sebaceum presence represents one of the major diagnostic criteria to confirm the diagnosis of tuberous sclerosis.

[5] When adenoma sebaceum presents with seizures and mental retardation (Vogt's triad), it indicates that cranial imaging is necessary, other differential diagnoses for this disorder include acne vulgaris, rhinophyma, and sebaceous hyperplasia.