Tuberous sclerosis physical examination: Difference between revisions

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Image:Tuberous sclerosis16.jpg|Tuberous sclerosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Tuberous sclerosis16.jpg|Tuberous sclerosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Tuberous sclerosis18.jpg|Tuberous sclerosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>


Image:Tuberous sclerosis20.jpg|Tuberous sclerosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Tuberous sclerosis20.jpg|Tuberous sclerosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>

Revision as of 13:13, 3 October 2014

Tuberous sclerosis Microchapters

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Differentiating Tuberous sclerosis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Tuberous sclerosis physical examination On the Web

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X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

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FDA on Tuberous sclerosis physical examination

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Risk calculators and risk factors for Tuberous sclerosis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Physical Examination

Skin

Images of the nail shown below are courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology

Face

Nails

Trunk

Oral cavity

The skin is examined under a Wood's lamp. The most common skin abnormalities include:

  • Facial angiofibromas
  • Ungual or subungual fibromas
  • Hypomelanic macules ("ash leaf spots")
  • Forehead plaques
  • Shagreen patches
  • Molluscum fibrosum or skin tags
  • Cafe-au-lait spots or flat brown marks
  • Poliosis

Head

  • Pitted tooth enamel
  • Rubbery growths on the tongue or gums

Eyes

  • Retinal lesions - astrocytic hamartomas
  • Non-retinal lesions associated with TSC include

Heart

  • A heart murmur can be heard due to the obstruction of blood flow by rhabdomyomas.

Lungs

  • Coarse rales are heard when lung parenchyma is involved.
  • Bronchial breathing and bronchophony are heard on auscultation when multiple cysts occur in the lungs.

Extremities

  • Rough growths under or around the fingernails and toenails

Neurologic

  • Abnormal size of head in children - due to hydrocephalus
  • Low IQ
  • Learning difficulties
  • Intellectual disability
  • Troubled communication and social interaction

References

  1. ↑ 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 1.11 1.12 1.13 1.14 1.15 1.16 1.17 1.18 1.19 1.20 1.21 1.22 1.23 1.24 1.25 1.26 1.27 1.28 1.29 1.30 1.31 1.32 1.33 1.34 1.35 1.36 1.37 1.38 1.39 1.40 "Dermatology Atlas".
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