Birt-Hogg-Dubé syndrome: a case report and a review of the literature

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperReviewResearchpeer-review

  • Dea Kejlberg Jensen
  • ,
  • Anders Villumsen, Clinical Institute of Medicine, Aarhus University, Aarhus, Denmark.
  • ,
  • Anne-Bine Skytte
  • ,
  • Mia Gebauer Madsen
  • ,
  • Mette Sommerlund
  • Elisabeth Bendstrup

Background: Birt-Hogg-Dubé syndrome (BHDS) is a rare autosomal dominant inherited syndrome caused by mutations in the folliculin coding gene (FLCN). The clinical manifestations of the syndrome involve the skin, lungs, and kidneys. Because of the rarity of the syndrome, guidelines for diagnosis and management of the patients with BHDS are lacking. Objective: To present a case story and a review of the literature on BHDS in order to give an update on genetics, clinical manifestations, diagnosis, treatment, prognosis and follow-up strategies. Design: Literature review and case story. Results: A PubMed and Embase search identified 330 papers. BHDS is characterized by small benign tumors in the skin, spontaneous pneumothoraces caused by cysts in the lungs and a seven-fold increased risk of renal cancer. A case story of a young female patient presenting with pneumothorax and a family history of recurrent pneumothoraces in many relatives illustrates how the history and the diagnostic work up resulted in a diagnosis of BHDS. Conclusion: BHDS is a rare inherited disorder. In patients with spontaneous pneumothorax or cystic lung disease without any obvious explanation, BHDS should be considered. Concomitant skin manifestations, a family history of familiar pneumothorax, renal cancers and skin manifestations supports the suspicion of BHDS. Early diagnosis is important in order to subject patients to systematic screening for renal cancers. A radiological surveillance strategy for renal cancer is proposed.

Original languageEnglish
Article number1292378
JournalEuropean Clinical Respiratory Journal
Volume4
Issue1
Number of pages9
ISSN2001-8525
DOIs
Publication statusPublished - 2017

    Research areas

  • Journal Article, Review

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