Tuberous sclerosis physical examination: Difference between revisions

Jump to navigation Jump to search

Latest revision as of 17:56, 23 June 2020


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

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Tuberous sclerosis physical examination All Images X-rays Echo & Ultrasound CT Images MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Tuberous sclerosis physical examination

CDC on Tuberous sclerosis physical examination

Tuberous sclerosis physical examination in the news

Blogs on Tuberous sclerosis physical examination

Directions to Hospitals Treating Tuberous sclerosis

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] José Eduardo Riceto Loyola Junior, M.D.[3]

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

Adenoma sebaceum.
Tuberous sclerosis; Subungual fibroma; Beneath the Left Index Nail
Tuberous sclerosis, Periungual Fibroma; Lateral Side of Left Great Toe Nail

Face

Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]

Nails

Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]

Trunk

Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]
Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]

Oral cavity

Tuberous sclerosis. Adapted from Dermatology Atlas.^[1]

Skin

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, which may cause blindness.
Non-retinal lesions associated with TSC include
- Coloboma
- Angiofibromas of the eyelids
- Papilledema (related to hydrocephalus)

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

References

↑ ^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".

Retrieved from "https://www.wikidoc.org/index.php?title=Tuberous_sclerosis_physical_examination&oldid=1616636"

Cookies help us deliver our services. By using our services, you agree to our use of cookies.