Sturge Weber Tuberous sclerosis and VHL

[jtre506]

How do you guys tell the difference ??

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[It'sElectric]

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

 

[DrFraud]

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

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

 

[Nodelphi]

Also don't forget VHL's big cavermous hemangiomas.

 

[ymgc]

People with Tuberous Sclerosis can also have bilateral angiomyolipomas in the kidneys

 

[Cards21aceking]

How do you guys tell the difference ??

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.

 

[bornmd]

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

 

[DOCTORSAIB]

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

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!

 

[DrFraud]

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

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).

 

[It'sElectric]

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

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