What iWs the inheritance pattern
Autosomal dominant
What is the characteristic feature?
Hamartomas - benign tissue growths
What organs does it tend to affect?
Skin
brain
lung
heart
kidney
eyes
What mutations occur?
TSC1 gene on chromosome 9
or
TSC2 gene on chromosome 16
What are skin features?
Ash leaf spots - dipigmented areas of skin shaped like ash leaves
Shagreen patches
Angiofibromas
Ungual fibromas - circular painless lumps that grow from the nail bed
Cafe-au lait spots
Poliosis - isolated patch of white hair
What are neurological features?
epilepsy
learning disability
brain tumourW
What is management?
Supportive
mTOR inhibitors - evrolimus can suppress growth of brain lung or kidney tumours