<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medinfo</journal-id><journal-title-group><journal-title xml:lang="ru">Актуальные проблемы теоретической и клинической медицины</journal-title><trans-title-group xml:lang="en"><trans-title>Actual Problems of Theoretical and Clinical Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2790-1289</issn><issn pub-type="epub">2790-1297</issn><publisher><publisher-name>Казахстанско-Российский медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24412/2790-1289-2024-2-57-66</article-id><article-id custom-type="elpub" pub-id-type="custom">medinfo-435</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЙ СЛУЧАЙ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL CASE</subject></subj-group></article-categories><title-group><article-title>Особенности клинических проявлений, диагностики и терапии туберозного склероза у детей</article-title><trans-title-group xml:lang="en"><trans-title>Features of clinical manifestations, diagnosis and therapy of tuberous sclerosis in children</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4912-4229</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лепесова</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Lepesova</surname><given-names>M. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лепесова Маржан Махмутовна – доктор медицинских наук, профессор, зав. кафедрой неврологии</p><p>Алматы</p></bio><bio xml:lang="en"><p>Lepesova Marzhan Makhmutovna – Doctor of Medical Sciences, Professor, Head of the Department of Neurology</p><p>Almaty</p></bio><email xlink:type="simple">m.lepesova@medkrmu.kz</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Исабекова</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Isabekova</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Исабекова Алма Айтахановна – кандидат медицинских наук, cтарший преподаватель кафедры неврологии</p><p>Алматы</p><p>телефон: 8 (701) 747-28-02</p></bio><bio xml:lang="en"><p>Isabekova Alma Aitakhanovna – Candidate of Medical Sciences, Senior Lecturer at the Department of Neurology</p><p>Almaty</p><p>phone: 8 (701) 747-28-02</p></bio><email xlink:type="simple">alma_64@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-0787-0514</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кудербаева</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuderbaeva</surname><given-names>D. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кудербаева Динара Аскаровна – резидент 2-го года обучения по специальности «Неврология взрослая, детская»</p><p>Алматы</p></bio><bio xml:lang="en"><p>Kuderbaeva Dinara Askarovna – is a resident of the 2nd year of study in the specialty «Adult and pediatric Neurology»</p><p>Almaty</p></bio><email xlink:type="simple">dinara_150991@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0002-1489-2284</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Оразалиев</surname><given-names>Б. Ә.</given-names></name><name name-style="western" xml:lang="en"><surname>Orazaliev</surname><given-names>B. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Оразалиев Бақдаулет Әбдіғапбарович – резидент 2-го года обучения по специальности «Неврология взрослая, детская»</p><p>Алматы</p></bio><bio xml:lang="en"><p>Orazaliev Bakdaulet Abdigapbarovich – is a resident of the 2nd year of study in the specialty «Neurology adult, children's»</p><p>Almaty</p></bio><email xlink:type="simple">baga_979797@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">НУО «Казахстанско-Российский медицинский университет»<country>Казахстан</country></aff><aff xml:lang="en">NEI «Kazakh-Russian medical university»<country>Kazakhstan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>29</day><month>07</month><year>2024</year></pub-date><volume>0</volume><issue>2</issue><fpage>57</fpage><lpage>67</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Лепесова М.М., Исабекова А.А., Кудербаева Д.А., Оразалиев Б.Ә., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Лепесова М.М., Исабекова А.А., Кудербаева Д.А., Оразалиев Б.Ә.</copyright-holder><copyright-holder xml:lang="en">Lepesova M.M., Isabekova A.A., Kuderbaeva D.A., Orazaliev B.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://kazrosmedjournal.krmu.edu.kz/jour/article/view/435">https://kazrosmedjournal.krmu.edu.kz/jour/article/view/435</self-uri><abstract><p>Туберозный склероз – генетическое заболевание из группы факоматозов, характеризуемое поражениями кожи, нервной системы и внутренних органов, связанными с нарушением пролиферации, миграции и дифференцировки клеток нейроглии.При туберозном склерозе часто поражаются различные органы, а лечение впервые диагностированных случаев туберозного склероза обычно является мультидисциплинарным, что создаетпроблему для комплексного клинического ведения пациентов с туберозным склерозом. Традиционно терапия туберозного склероза в основном состоит из хирургического лечения и симптоматической поддерживающей терапии. Однако в последние годы предложена концепция прецизионной медицины и все большее внимание уделяется молекулярной таргетной терапии.В статье описан редкий случай генетически детерминированного полисистемного заболевания – туберозного склероза (болезнь Бурневилля-Прингла). Правильная и своевременная диагностика туберозного склероза имеет основополагающее значение, поэтому в статье подробно изложены современные эпидемиологические данные, генетические и клинические критерии диагностикизаболевания и лечение. На примере истории болезни пациента с туберозным склерозом проанализированы особенности течения заболевания в детском возрасте.В представленном клиническом примере демонстрируется классическая симптоматика ТС и рекомендации.</p></abstract><trans-abstract xml:lang="en"><p>Tuberous sclerosis is a genetic disease from the group of phacomatoses characterized by lesions of the skin, nervous system and internal organs associated with impaired proliferation, migration anddifferentiation of neuroglia cells. In tuberous sclerosis, various organs are often affected, and the treatment of newly diagnosed cases of tuberous sclerosis is typically multidisciplinary, creating a challenge for the comprehensive clinical management of patients with tuberous sclerosis. Traditionally, therapy for tuberous sclerosis has primarily consisted of surgical treatment and symptomatic supportive care. However, in recent years, the concept of precision medicine has been proposed, and increasing attention is being given to molecular targeted therapy. The article describes a rare case of a genetically determined polysystem disease – Tuberous sclerosis (Bourneville-Pringle disease). Accurate diagnosis of tuberous sclerosis is of fundamental importance, therefore, the article details modern epidemiological data, genetic and clinical criteria for the diagnosis of the disease and treatment. On the example of the medical history of a patient with tuberous sclerosis, the features of the course of the clinical case are analyzed.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>детская неврология</kwd><kwd>генетические заболевания</kwd><kwd>туберозный склероз</kwd></kwd-group><kwd-group xml:lang="en"><kwd>pediatric neurology</kwd><kwd>genetic diseases</kwd><kwd>tuberous sclerosis</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Под ред. Дорофеевой М. Ю. Туберозный склероз. – Mосква: Практическая медицина. – 2012. – 240 с.</mixed-citation><mixed-citation xml:lang="en">Dorofeyeva, M. Yu. (ed.) (2012). Tuberous sclerosis. Moscow: Practical medicine, 240 p. (In Russian).</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Osborne J. P., Fryer A., Webb D. Epidemiology of Tuberous Sclerosis // Annals of the New York Academy of Sciences. – 1991. – Vol. 615. – P. 125-128.</mixed-citation><mixed-citation xml:lang="en">Osborne, J. P., Fryer, A., Webb, D. (1991). Epidemiology of Tuberous Sclerosis. Annals of the New York Academy of Sciences, 615, 125-128.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Дорофеева М. Ю., Страхова О. С., Катышева О. В., Осипова Э. К., Чумак О. И., Добрынина М. В. Туберозный склероз [Электронный ресурс] // Лечащий врач. – 2005. – URL: http://www.lvrach.ru/2005/08/4532910/ (дата обращения: 20.02.2024).</mixed-citation><mixed-citation xml:lang="en">Dorofeeva, M. Yu., Strahova, O. S., Katysheva, O. V., Osipova, E. К., Chumak, О. I., Dobrynina, М. V. Tuberous sclerosis. Lechaschi Vrach. Retrived February 20, 2024, from http://www.lvrach.ru/2005/08/4532910/ (In Russian).</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Kwiatkowski D. J., Reeve M. P., Cheadle J. P., Sampson J. R. Molecular Genetics. In: Tuberous Sclerosis complex: from Basic Science to Clinical Phenotypes. – Ed: Curatolo P. London, England: Mac Keith Press. – 2003. – P. 228-263.</mixed-citation><mixed-citation xml:lang="en">Kwiatkowski, D. J., Reeve, M. P., Cheadle, J. P., Sampson, J. R. Molecular Genetics. In: Nuberous Sclerosis complex: from Basic Science to Clinical Phenotypes. Ed: Curatolo, P. London, England: Mac Keith Press, 2003, 228-263.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Дорофеева М. Ю., Белоусова Е. Д. Возможности патогенетической терапии туберозного склероза // Эффективная фармакотерапия. Педиатрия. – 2012. – № 4. – С. 50-58.</mixed-citation><mixed-citation xml:lang="en">Dorofeeva, M. Yu., Belousova, E. D. (2012). Vozmozhnosti patogeneticheskoj terapii tuberoznogo skleroza. Effective pharmacotherapy. Pediatrics, 4, 50-58 (In Russian).</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Krueger D. A., Northrup H. The International Tuberous Sclerosis Complex Consensus Group. Tuberous Sclerosis Complex Surveillance and Management: Recommendations of the 2012 International Tuberous Sclerosis Complex Consensus Conference // Pediatric Neurology. – 2013. – Vol. 49. – P. 255-265.</mixed-citation><mixed-citation xml:lang="en">Krueger, D. A., Northrup, H. (2013). The International Tuberous Sclerosis Complex Consensus Group. Tuberous Sclerosis Complex Surveillance and Management: Recommendations of the 2012 International Tuberous Sclerosis Complex Consensus Conference. Pediatric Neurology, 49, 255-265.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Юсупова Л. А., Гараева З. Ш., Жунусова Е. И. и др. Болезнь Бурневилля-Прингла // Лечащий врач. – 2012. – № 10. – С. 18-21.</mixed-citation><mixed-citation xml:lang="en">Jusupova, L. A., Garaeva, Z. Sh., Junusova, E. I. (ed.) (2012). Bolezn' Burnevillja – Pringlja. Lechaschi Vrach, 10, 18-21 (In Russian).</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Curatolo P., Moavero R., J de Vries P. Neurological and neuropsychiatric aspects of tuberous sclerosis complex // Lancet Neurology. – 2015. – Vol. 14(7). – P. 733-745.</mixed-citation><mixed-citation xml:lang="en">Curatolo, P., Moavero, R. (2015). Neurological and neuropsychiatric aspects of tuberous sclerosis complex. Lancet Neurology, 14, 733-745.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Luat A. F., Makki M., Chugani H. T. Neuroimaging in tuberous sclerosis complex // Current Opinionin Neurology. – 2007. – Vol. 20. – P. 142-150.</mixed-citation><mixed-citation xml:lang="en">Luat, A. F., Makki, M., Chugani, H. T. (2007). Neuroimaging in tuberous sclerosis complex. Current Opinionin Neurology, 20, 142-150.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Francis J., DiMario Jr . Brain abnormalities in tuberous sclerosis complex // Journal of Child Neurology. – 2004. – Vol. 19. – P. 650-657.</mixed-citation><mixed-citation xml:lang="en">Francis, J DiMario, Jr. (2004). Brain abnormalities in tuberous sclerosis complex. Journal of Child Neurology, 19, 650-657.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Curatolo P., Bombardieri R. Tuberous sclerosis // Lancet. – 2008. – Vol. 72. – P. 657-668.</mixed-citation><mixed-citation xml:lang="en">Curatolo, P., Bombardieri, R. (2008). Tuberous sclerosis. Lancet, 372, 657-668.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Islam M. P., Roach E. S. Tuberous sclerosis complex // Handbook of Clinical Neurology. – 2015. – Vol. 132. – P. 97-109.</mixed-citation><mixed-citation xml:lang="en">Islam, M. P. (2015). Roach ES Tuberous sclerosis complex. Handbook of Clinical Neurology, 132, 97-109.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Chu-Shore C. J., Major P., Camposano S., Muzykewicz D., Thiele E. A. The natural history of epilepsy in tuberous sclerosis complex // Epilepsia. – 2010. – Vol. 51. – P. 1236-1241.</mixed-citation><mixed-citation xml:lang="en">Chu-Shore, C. J., Major, P., Camposano, S., Muzykewicz, D. (2010). Thiele EA The natural history of epilepsy in tuberous sclerosis complex. Epilepsia, 51, 1236-1241.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Kaczorowska M., Jurkiewicz E., Domanska-Pakiela D., Syczewska M., Lojszczyk B. Cerebral tuber count and its impact on mental outcome of patients with tuberous sclerosis complex // Epilepsia. – 2011. – Vol. 52. – P. 22-21.</mixed-citation><mixed-citation xml:lang="en">Kaczorowska, M., Jurkiewicz, E., DomanskaPakiela, D., Syczewska, M., Lojszczyk, B. (2011). Cerebral tuber count and its impact on mental outcome of patients with tuberous sclerosis complex. Epilepsia, 52, 22-27.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Uysal Sanem Pinar, Şahin M. Tuberous sclerosis: a review of the past, present, and future// Turkish Journal of Medical Sciences. – 2020. – Vol. 50(7). – P. 1665–1676.</mixed-citation><mixed-citation xml:lang="en">Uysal, Sanem Pinar, Şahin, M. (2020). Tuberous sclerosis: a review of the past, present, and future. Turkish Journal of Medical Sciences, 50(7), 1665-1676.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Zhang K., Hu W-H, Zhang C., Meng F-G., Chen N., Zhang J-G. Predictors of seizure freedom after surgical management of tuberous sclerosis complex: a systematic review and meta-analysis // Epilepsy Research. – 2013. – Vol. 105. – P. 377-383.</mixed-citation><mixed-citation xml:lang="en">Zhang, K., Hu, W-H, Zhang, C., Meng, F-G., Chen, N., Zhang, J-G. (2013). Predictors of seizure freedom after surgical management of tuberous sclerosis complex: a systematic review and meta-analysis. Epilepsy Research, 105, 377-383.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Capal J. K., Bernardino-Cuesta B., Horn P. S., Murray D., Byars A. W. Influence of seizures on early development in tuberous sclerosis complex. // Epilepsy &amp; Behavior. – 2017. – Vol. 70. – P. 245-252.</mixed-citation><mixed-citation xml:lang="en">Capal, J. K., Bernardino-Cuesta, B., Horn, P. S., Murray, D., Byars, A. W. (2017). Influence of seizures on early development in tuberous sclerosis complex. Epilepsy &amp; Behavior, 70, 245-252.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Jansen F. E., Vincken K. L., Algra A., Anbeek P., Braams O. Cognitive impairment in tuberous sclerosis complex is a multifactorial condition // Neurology. – 2008. – Vol. 70. – P. 916-923.</mixed-citation><mixed-citation xml:lang="en">Jansen, F. E., Vincken, K. L., Algra, A., Anbeek, P., Braams, O. (2008). Cognitive impairment in tuberous sclerosis complex is a multifactorial condition. Neurology, 70, 916-923.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Ehninger D., Sano Y., de Vries P. J., Dies K., Franz D. Gestational immune activation and Tsc2 haploinsufficiency cooperate to disrupt fetal survival and may perturb social behavior in adult mice // Molecular Psychiatry. – 2012. – Vol. 17 – P. 62-70.</mixed-citation><mixed-citation xml:lang="en">Ehninger, D., Sano, Y., de Vries, P. J., Dies, K., Franz, D. (2012). Gestational immune activation and Tsc2 haploinsufficiency cooperate to disrupt fetal survival and may perturb social behavior in adult mice. Molecular Psychiatry,17, 62-70.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Franz D. N., Bissler J. J., McCormack F. X. Tuberous sclerosis complex: Neurological, renal, and pulmonary manifestations // Neuropediatrics. – 2010. – Vol. 41. – P. 199-208.</mixed-citation><mixed-citation xml:lang="en">Franz, D. N., Bissler, J. J., McCormack, F. X. (2010). Tuberous sclerosis complex: Neurological, renal, and pulmonary manifestations. Neuropediatrics, 41, 199-208.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Sharma M. C., Ralte A.M., Gaekwad S., Santosh V., Shankar S.K., Sarkar C. Subependymal giant cell astrocytoma – a clinicopathological study of 23 cases with special emphasis on histogenesis // Pathology &amp; Oncology Research. – 2004. – Vol. 10. – P. 219-224.</mixed-citation><mixed-citation xml:lang="en">Sharma, M. C., Ralte, A. M., Gaekwad, S., Santosh, V., Shankar, S. K., Sarkar, C. (2004). Subependymal giant cell astrocytoma – a clinicopathological study of 23 cases with special emphasis on histogenesis. Pathology &amp; Oncology Research, 10, 219-224.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Grajkowska W., Kotulska K., Jurkiewicz E., Matyja E. Brain lesions in tuberous sclerosis complex // Review. Folia Neuropathologica. – 2010. – Vol. 48. – P. 139-149.</mixed-citation><mixed-citation xml:lang="en">Grajkowska, W., Kotulska, K., Jurkiewicz, E., Matyja, E. (2010). Brain lesions in tuberous sclerosis complex. Review. Folia Neuropathologica, 48, 139-149.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
