101. [P&S Medical Review:Oct:94] Pulmonary Lymphangiomyomatosis In Tuberous Sclerosis P S Medical Review Oct 1994, Vol.2, No.1 Pulmonary Lymphangiomyomatosis in tuberous sclerosis Association with Chronic Renal Failure. http://cumc.columbia.edu/news/review/archives/medrev_v2n1_0003.html

Pulmonary Lymphangiomyomatosis in Tuberous Sclerosis: Association with Chronic Renal Failure JONATHAN L. BRISMAN, ANDREW J. KIRSCH, JOHN A. TAYLOR, BARRY D. BIRCH, HANINA H. HIBSHOOSH, AND STEVEN A. KAPLAN Departments of Urology, Squier Urological Clinic, and Pathology ABSTRACT Progression to renal failure in tuberous sclerosis patients is a rare phenomenon. Only twenty-nine such cases have been reported in the literature. Similarly, pulmonary lymphangiomyomatosis (honeycomb lung) is an uncommon complication of tuberous sclerosis occurring in less than 1% of patients. In reported cases of tuberous sclerosis and chronic renal failure, there have been no reported cases with known cystic lung disease. We present the first case of tuberous sclerosis with concomitant end-stage renal failure and cystic lung disease consistent with lymphangiomyomatosis as well as a review of the current literature. CASE REPORT A 28-year old black woman with tuberous sclerosis was admitted to our medical center with left flank pain and gross hematuria. Medical history was significant for bilateral renal cystic disease and seizures until age eleven. At age 21, she was diagnosed as having bullous lung disease with obstructive and restrictive features. She has had several tube thoracostomies for spontaneous pneumothoraces and requires home oxygen therapy. At age 26, she was begun on hemodialysis for end-stage renal failure. Family history is noteworthy for tuberous sclerosis and polycystic renal disease in her brother and father, who died at age 42. She was of average intelligence while her father and brother were mildly retarded. She was awaiting renal transplantation.

102. What Is Tuberous Sclerosis ? What is tuberous sclerosis ? What are the symptoms of tuberous sclerosis ? Typical symptoms of the disease can be one, some or all of the following http://www.netspace.net.au/~atss/whatis.htm

What is Tuberous Sclerosis ? Tuberous Sclerosis is a multi system genetic condition causing tuber like growths in the brain, and frequently in other vital organs. The condition develops before birth and continues to do so during the person's lifetime. It occurs in approximately 1 in 7 000 people. TS, also known as Epiloia, was first diagnosed by Bournville, a French physician over 100 years ago but still remains poorly understood and is often misdiagnosed. Children are born with TS and it can have a devaststating effect on them and their families. What are the symptoms of Tuberous Sclerosis ? Typical symptoms of the disease can be one, some or all of the following: Epilepsy: 80% of children with Tuberous Sclerosis will be epileptic, some with many types of seizures. These seizures are often difficult to control. Intellectual Impairment: This does not always occur. Impairment can vary from mild to very severe. Behavioural Problems: Some children with Tuberous Sclerosis are very overactive and may have sleeping problems. Some may show signs of autism. Some children may develop challenging behaviours. Skin signs: The earliest sign may be a white skin patch, seen even on new born babies. These white patches are usually found on the trunk and limbs.At a later age a characteristic facial rash - angiofibroma - may appear, especially around the nose, chin and cheeks. The angiofibroma appears in 90% of cases. At first, the rash is red, pin point spots which later become small lumps.

103. National Tuberous Sclerosis Association Home Page National tuberous sclerosis Association Home Page httphttp//www.ntsa.org/ Welcome to the NTSA WWWeb Home Page! We re very proud http://www.pslgroup.com/dg/1fefe.htm

104. IRSC - Neurological Disorders, Tuberous Sclerosis Neurological Disorders tuberous sclerosis. IRSC Home Neurological Disorders tuberous sclerosis. Categories. http://www.irsc.org:8080/irsc/irscmain.nsf/sub?readform&cat=Neurological Disorde

105. US Army Tuberous Sclerosis Program Publication Date 02/03/04 Department of Defense FY04 tuberous sclerosis Program. The Department of Defense FY04 tuberous sclerosis http://ard.huji.ac.il/huard/pageExecuter.jsp?ardNum=330&table=InfoPages

106. Tuberøs Sklerose Kompetansesenter http://www.tuberous-sclerosis.epilepsy.no/

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