Sturge Weber Tuberous sclerosis and VHL

Discussion in 'Step I' started by jtre506, Jun 14, 2008.

  1. jtre506

    jtre506 Junior Member
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    How do you guys tell the difference ??
     
  2. It'sElectric

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    Sturge-Weber: AV malformations of the face (trigeminal nerve distribution) and brain.
    Tuberous Sclerosis: hypopigmented skin lesions ("ash leaf spots") and brain hamartomas.
    VHL: Bilateral Renal Cell Carcinoma and Pheos
     
  3. DrFraud

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    Dont forget rhabdomyomas/heart tumers with tuberous sclerosis - this is a classic presentation - and I believe this is seen at a young age.
     
  4. Nodelphi

    Nodelphi Member
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    Also don't forget VHL's big cavermous hemangiomas.
     
  5. ymgc

    ymgc ASA Member
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    People with Tuberous Sclerosis can also have bilateral angiomyolipomas in the kidneys
     
  6. Cards21aceking

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    Writing the differences out on a post-it note and putting it on my bathroom mirror. It's next to Inducers/inhibitors of the p-450 enzymes, as well as some other junk that I can never remember.
     
  7. bornmd

    bornmd New Member

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    Tuberous sclerosis

    Michael Schumacher Likes CARs= MSLCAR

    Mental ******ation
    Seizures (epileptic)
    Light skin (hypopigmentation)
    Candle stick tumor in ventricles (astrocyte proliferation in epedyma)
    Angiomyolipoma of the kidney
    Rhabdomyosarcoma of the heart..

    If you like cars like I do, this should be helpful
    Hope that helps
     
  8. DOCTORSAIB

    DOCTORSAIB Ophtho or bust!
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    Guys, please remember the other manifestation of TS -- angiofibromas esp of the nose and cheeks. (you may see this on an NBME exam..;)

    In fact, this may be one of the first signs of the dz and be the reason why the parents bring the "poor little dude" (Dr.G) to see the doc/derm!
     
  9. DrFraud

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    ok, I know all these are all important, but really remember the case of a young patient with cancer in the heart muscle. Its such a unique presentation, and popular (nod, nod, wink, wink).
     
  10. It'sElectric

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    Very good point. And it is at a young age.
     

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