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Annual review of children with tuberous sclerosis
  1. K H Ng1,2,
  2. S M Ng2,
  3. A Parker2,3
  1. 1The North West London Hospitals NHS Trust, Northwick Park Hospital, London, UK
  2. 2School of Clinical Medicine, University Of Cambridge, Cambridge, UK
  3. 3Department of Paediatric Neurology, Addenbrooke's Hospital, Cambridge, UK
  1. Correspondence to Dr Kien H Ng, North West London Hospitals NHS Trust, Northwick Park Hospital, Harrow, London HA1 3UJ, UK; kien.ng{at}nhs.net

Abstract

Tuberous sclerosis complex is a complex childhood disorder characterised by the formation of hamartomas in multiple organs. Annual review of this disease is recommended to monitor the development of complications. We aim to provide a concise, evidence-based framework to assist clinicians during this annual review. We focus on the following areas: (A) what questions need to be asked during annual review, (B) which areas need emphasis on examination, (C) when is an investigation required and (D) referral to tertiary specialists and other members of the multidisciplinary team. It should also be noted that there are ongoing debates regarding screening intervals in certain areas. These include the frequency, modality of screening and degree of intervention for astrocytomas and renal angiomyolipomas. This review seeks to summarise the product of the ongoing debates, and provide evidence-based suggestions in light of the uncertainty.

  • Paediatric Practice
  • Neurology
  • Dermatology
  • Nephrology
  • Adolescent Health

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