PT  - JOURNAL ARTICLE
AU  - K H Ng
AU  - S M Ng
AU  - A Parker
TI  - Annual review of children with tuberous sclerosis
AID  - 10.1136/archdischild-2013-304948
DP  - 2015 Jun 01
TA  - Archives of disease in childhood - Education & practice edition
PG  - 114--121
VI  - 100
IP  - 3
4099  - http://ep.bmj.com/content/100/3/114.short
4100  - http://ep.bmj.com/content/100/3/114.full
SO  - Arch Dis Child Educ Pract Ed2015 Jun 01; 100
AB  - 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.