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Published on: October 17, 2025
Tuberous sclerosis complex in autism
Xin Guo1, Wen-Jun Tu, Xiao-Dong Shi
1Department of Clinical laboratory, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Insights
Tuberous sclerosis complex (TSC) affects 1.17% of children with autistic disorder. This neurocutaneous disorder is linked to developmental delays and intellectual disability in affected children.
Area of Science:
- Neuroscience
- Genetics
- Developmental Pediatrics
Background:
- Autistic disorder is a complex neurodevelopmental condition.
- Tuberous sclerosis complex (TSC) is a genetic disorder with neurological manifestations.
- The co-occurrence and prevalence of TSC in individuals with autistic disorder require further investigation.
Purpose of the Study:
- To determine the prevalence rate of tuberous sclerosis complex (TSC) among children diagnosed with autistic disorder.
- To investigate potential associations between autistic disorder and the development of TSC.
Main Methods:
- A cohort of 429 children diagnosed with autistic disorder and pervasive developmental disorders was followed from 2005 to 2009.
- Children were routinely screened for neurocutaneous markers of TSC, such as depigmented spots.
- Individuals with infantile spasms or epilepsy underwent regular monitoring for TSC clinical features.
Main Results:
- Five children in the cohort were diagnosed with tuberous sclerosis complex (TSC), indicating a prevalence of 1.17%.
- All children with co-occurring TSC and autistic disorder exhibited moderate to severe mental retardation, with IQ or developmental quotients below 70.
Conclusions:
- The prevalence of tuberous sclerosis complex (TSC) in autistic disorder was found to be 1.17% in the studied region.
- Autistic disorder may be associated with an increased risk for the development of tuberous sclerosis complex (TSC).
Objective:
To study the prevalence rate of tuberous sclerosis complex in autistic disorder.
Methods:
We studied one cohort of children followed up since 2005 until 2009, with autistic disorder, to determine the incidence of tuberous sclerosis complex. We established an autistic disorder registry in 2005 at China Rehabilitation Research Center. During the 4-year period (2005-2009), we collected a database of 429 children (390 boys and 39 girls; male to female ratio 10:1) with autistic disorder and pervasive developmental disorders. We routinely examined all children with autistic disorder for any features of tuberous sclerosis complex by looking for neurocutaneous markers such as depigmented spots. In those with infantile spasm or epilepsy, the clinical features of tuberous sclerosis complex were monitored regularly during follow-up.
Findings:
Of these, five had tuberous sclerosis complex. Thus, the prevalence rate of tuberous sclerosis complex in autistic disorder is 1.17%. All of these children were mentally retarded with moderate to severe grades. Their IQ or developmental quotient was less than 70.
Conclusion:
The prevalence rate of tuberous sclerosis complex in autistic disorder was 1.17% in our region; autism spectrum disorder is a condition that might be associated with development of tuberous sclerosis complex.
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