Tuberous sclerosis presenting along with autosomal dominant polycystic kidney disease (ADPKD): A rare presentation

Tuberous sclerosis complex (TSC) and autosomal dominant polycystic kidney disease (ADPKD) are two different genetic diseases. Although these two diseases are associated very rarely, the association is well recognized. This occurs due to a large deletion involving both PKD-1 and TSC-2 genes on chromosome 16. This is also known as TSC-2/PKD-1 contiguous gene syndrome. We present a case of a 19-year-old male, presenting with hematuria and tuberous sclerosis phenotype whose USG abdomen and CT scan of head and abdomen revealed bilateral multiple renal cysts and sub-ependymal nodules suggestive of having Tuberous sclerosis along with ADPKD.