A mentally challenged adult with tonic convulsions, dysmorphic face and sebopsoriasis.

Department of A 21-year-old man presented with increased frequency of intermittent tonic spasms of 3 weeks’ Endocrinology and duration. There was also history of fever and extensive cutaneous lesions involving the body, scalp *Neurological Sciences, and nails of 6 weeks’ duration. From the age of 17 years, he experienced spontaneous paroxysmal Christian Medical tonic spasms involving extremities and trunk with retained consciousness and was on treatment College, Ida Scudder with Carbamazepine and Sodium valproate. Behavioral problems were treated with Chlorpromazine, Road, Vellore – 632 004, Nitrazepam and Trihexyphenidyl. For a week prior to admission, he was on treatment with Tamil Nadu, India Cefotaxime and Gentamicin for the febrile episode. He was born of a non-consanguineous union. Birth history and family history were non-contributory. Motor and mental milestones were delayed Correspondence: Mathew John, and he attended a school for the mentally challenged.