A Japanese Family with Multiple Lung Cysts and Recurrent Pneumothorax: A Possibility of Birt-Hogg-Dubé Syndrome

We herein report a Japanese family lineage, possibly demonstrating Birt-Hogg-Dubé (BHD) syndrome. A 29-year-old nonsmoking woman was admitted to our hospital due to spontaneous pneumothorax. A chest CT showed multiple lung cysts, and breast cancer was simultaneously detected that needed priority sur...

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Veröffentlicht in:Internal Medicine 2009, Vol.48(16), pp.1413-1417
Hauptverfasser: Ishii, Hiroshi, Oka, Hiroaki, Amemiya, Yuka, Iwata, Atsuko, Otani, Satoshi, Kishi, Kenji, Shirai, Ryo, Tokimatsu, Issei, Kawahara, Katsunobu, Kadota, Jun-ichi
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container_end_page 1417
container_issue 16
container_start_page 1413
container_title Internal Medicine
container_volume 48
creator Ishii, Hiroshi
Oka, Hiroaki
Amemiya, Yuka
Iwata, Atsuko
Otani, Satoshi
Kishi, Kenji
Shirai, Ryo
Tokimatsu, Issei
Kawahara, Katsunobu
Kadota, Jun-ichi
description We herein report a Japanese family lineage, possibly demonstrating Birt-Hogg-Dubé (BHD) syndrome. A 29-year-old nonsmoking woman was admitted to our hospital due to spontaneous pneumothorax. A chest CT showed multiple lung cysts, and breast cancer was simultaneously detected that needed priority surgical treatment. In the family history, the patient's father and half brother also experienced recurrent pneumothorax, and both had similar findings in their chest CT. In a genetic analysis of her half brother, the mutation of the BHD gene was identified. BHD syndrome is a rare autosomal and dominantly inherited disorder, which has three characteristics: multiple lung cysts that may be associated with pneumothorax, skin fibrofolliculomas, and renal neoplasm. For multiple-cystic disease of the lungs with an unknown etiology, or pneumothorax, as seen in a family history, it is necessary to consider the possibility of BHD syndrome.
doi_str_mv 10.2169/internalmedicine.48.2144
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subjects Adult
Asian Continental Ancestry Group - genetics
cystic lung disease
Cysts - diagnosis
Cysts - genetics
family history
Female
Humans
Lung Diseases - diagnosis
Lung Diseases - genetics
Pedigree
Pneumothorax - diagnosis
Pneumothorax - genetics
Proto-Oncogene Proteins - genetics
Recurrence
spontaneous pneumothorax
Syndrome
Tumor Suppressor Proteins - genetics
title A Japanese Family with Multiple Lung Cysts and Recurrent Pneumothorax: A Possibility of Birt-Hogg-Dubé Syndrome
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