By Gary M. White, MD
Koenen's tumors are periungual fibromas that occur in tuberous sclerosis.
Treatment is usually not needed. However, a 1 mg/cc solution of topical rapamycin BID under occlusion completely cleared an infant's KTs after 6 months [JAMADerm 2014;150;1024]
Koenen's tumors and adenoma sebaceum. Photograph courtesy Gary Cole, MD
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