{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:52:02Z","timestamp":1777881122325,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2016,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To report a case of a 12-year-old boy with intellectual disability and attention deficit hyperactivity disorder, who came to surgery for an examination due to a minor bulge on the left thumb, which had been growing for the previous month. His mother denied any trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>After the removal of the clinically ambiguous bulge and a pathohistological confirmation that it was a periungual fibroma, complete patient analysis was performed due to the presence of hypomelanotic macules and a suspected tuberous sclerosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Considering the presence of hypomelanotic macules, as one of the main criteria, possible TS diagnosis was set.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Early detection of the symptoms of TS enables a timely provision of protocols for further patient monitoring, which affects the patient\u2019s morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2050313x16666233","type":"journal-article","created":{"date-parts":[[2016,8,26]],"date-time":"2016-08-26T21:58:53Z","timestamp":1472248733000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Ungual fibroma in 12-year-old boy with hypomelanotic macules, intellectual disability and attention deficit hyperactivity disorder\u2014possible tuberous sclerosis"],"prefix":"10.1177","volume":"4","author":[{"given":"Nedeljka","family":"Glavan","sequence":"first","affiliation":[{"name":"Department of Pediatrics Surgery, University Hospital Centre Rijeka, Rijeka, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivana","family":"Ljubi\u010di\u0107-Bistrovi\u0107","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University Hospital Centre Rijeka, Rijeka, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bla\u017eenka","family":"Grahovac","sequence":"additional","affiliation":[{"name":"Department of Pathology, School of Medicine, University of Rijeka, Rijeka, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luka","family":"Traven","sequence":"additional","affiliation":[{"name":"Department of Environmental Medicine, Medical Faculty, University of Rijeka, Rijeka, Croatia"},{"name":"Teaching Institute of Public Health, Rijeka, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anton","family":"Sasso","sequence":"additional","affiliation":[{"name":"Health Center of Primorsko-Goranska County, Medical Faculty, University of Rijeka, Rijeka, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nives","family":"Jonji\u0107","sequence":"additional","affiliation":[{"name":"Department of Pathology, School of Medicine, University of Rijeka, Rijeka, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,8,26]]},"reference":[{"key":"bibr1-2050313X16666233","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-0192"},{"key":"bibr2-2050313X16666233","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-3607"},{"key":"bibr3-2050313X16666233","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2013.08.001"},{"key":"bibr4-2050313X16666233","doi-asserted-by":"publisher","DOI":"10.1097\/00042728-200801000-00024"},{"key":"bibr5-2050313X16666233","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-4362.1998.00495.x"},{"key":"bibr6-2050313X16666233","doi-asserted-by":"publisher","DOI":"10.4103\/0378-6323.140318"},{"key":"bibr7-2050313X16666233","doi-asserted-by":"publisher","DOI":"10.1016\/j.ad.2012.10.001"},{"key":"bibr8-2050313X16666233","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2014.10.004"},{"key":"bibr9-2050313X16666233","doi-asserted-by":"publisher","DOI":"10.1038\/ejhg.2015.47"}],"container-title":["SAGE 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