This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Neurocutaneous syndromes, Subject name: Pediatrics
What is the name of this skin lesion seen in Tuberous sclerosis? 
Select and explain. 
A. Adenoma sebaceum, B. Ash leaf macules, C. Confetti skin lesions, D. Shagreen patches
D: Shagreen patches
Answer: D: Shagreen patches 
Explanation: The skin lesion shown in the picture is shagreen patch, which has orange peel like appearance. skin manifestations of Tuberous sclerosis