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Published Online First: 2 May 2008. doi:10.1136/adc.2006.094938
Archives of Disease in Childhood 2008;93:728-731
Copyright © 2008 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

Leading articles

Tuberous sclerosis—what’s new?

John P Osborne1,2, Jane Merrifield1, Finbar J K O’Callaghan1,3,4

1 Royal United Hospital Bath NHS Trust, Bath, UK
2 School for Health, the University of Bath, Bath, UK
3 University of Bristol, Bristol, UK
4 Bristol Royal Hospital for Children, Bristol, UK

Professor J P Osborne, Royal United Hospital Bath NHS Trust, Combe Park, Bath BA1 3NG, UK; mpsjpo@bath.ac.uk

Accepted 28 January 2008

The first 150 words of the full text of this article appear below.

Tuberous sclerosis (TSC) is a condition well known to paediatricians for causing severe epilepsy, learning difficulties and behaviour problems in about half of those affected.1 It also causes cardiac rhabdomyomas, skin lesions, renal cysts and angiomyolipomas, subependymal giant cell astrocytomas and retinal astrocytomas.25 TSC results from damage to one of two genes: TSC1 on chromosome 9 and TSC2 on chromosome 16.6 7 The protein products of the TSC1 and TSC2 genes are called hamartin and tuberin, respectively. Both genes function as tumour suppressor genes, and, when they are damaged, as in TSC, there is a tendency to form benign tumours (hamartomas) in most organs of the body.8 9 Occasionally, people have contiguous deletions of the TSC2 gene and the adjacent adult-onset polycystic kidney disease gene (PKD1), and they develop early-onset polycystic kidney disease as well as the other features of TSC.

In the central nervous system, the hamartomas take the form of . . . [Full text of this article]


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This article has been cited by other articles:

  • Armstrong, L., Orr, V. (2009). Seizures in a 9 month old girl. BMJ 339: b4133-b4133 [Full Text]  

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Tuberous sclerosis: what's new...the role of gene testing
Maya Chopra, et al.
ADC Online, 2 Jul 2008 [Full text]

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