Tuberous sclerosis diagnostic criteria: Difference between revisions
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! colspan="2" |Updated diagnostic criteria for tuberous sclerosis complex 2012 | ! colspan="2" |Updated diagnostic criteria for tuberous sclerosis complex 2012 | ||
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|Hypomelanotic macules (> or more at least 5mm diameter) | |Hypomelanotic macules (> or more at least 5mm diameter) | ||
|" | |"Confetti" skin lesions | ||
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|Angiofibromas (>3 or more) or fibrous cephalic plaque | |Angiofibromas (>3 or more) or fibrous cephalic plaque | ||
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[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Needs overview]] | [[Category:Needs overview]] | ||
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Revision as of 21:12, 19 June 2020
Tuberous sclerosis Microchapters |
Diagnosis |
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Tuberous sclerosis diagnostic criteria On the Web |
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Risk calculators and risk factors for Tuberous sclerosis diagnostic criteria |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
There are no pathognomonic clinical signs for tuberous sclerosis. Many signs are present in individuals who are healthy (although rarely), or who have another disease. A combination of signs, classified as major or minor, is required in order to establish a clinical diagnosis.
Diagnostic Criteria
Diagnosis is made according to the following criteria:
- Definite – Either two major features or one major feature plus two minor features.
- Probable – One major plus one minor feature.
- Suspect – Either one major feature or two or more minor features.
Updated diagnostic criteria for tuberous sclerosis complex 2012 | |
---|---|
Major Features | Minor Features |
Hypomelanotic macules (> or more at least 5mm diameter) | "Confetti" skin lesions |
Angiofibromas (>3 or more) or fibrous cephalic plaque | Dental enamel pits (>3) |
Ungual fibromas (>2 or more) | Intraoral fibromas (>2 or more) |
Shagreen patch | Retinal achromic patch |
Multiple retinal hamartomas | Multiple renal cysts |
Cortical dysplasias** | Nonrenal hamartomas |
Subependymal nodules | |
Subependymal giant cell astrocytoma | |
Cardiac rhabdomyoma | |
Lymphangioleiomyomatosis* | |
Angiomyolipomas (>2 or more) |
- * A combination of the two major clinical features (lymphangioleiomyomatosis and angiomyolipomas) without other features does not meet criteria for a definite diagnosis.
- **includes tubers and cerebral white matter radial migration lines.