Birt Hogg Dube syndrome: Rare family lung disease

Birt Hogg Dube syndrome is a rare disease characterized by autosomal dominant inherited multiple cysts in the lungs, renal tumors and skin fibrofolliculomas. It was first described in 1977 by Birt et al. In this case report, a patient who was diagnosed with symptoms and his first degree relative is presented. Diseases that should be considered in differential diagnosis are discussed. The diagnosis of this disease is usually made after recurrent pneumothorax. Since it is a genetic disease, the importance of follow-up and screening needs of patients and their relatives is emphasized.

Birt Hogg Dube sendromu: Nadir görülen ailesel akciğer hastalığı

Birt Hogg Dube sendromu, otozomal dominant kalıtılan akciğerlerde multipl kistler, renal tümörler ve deride fibrofolikülomalar ile karakterize nadir bir hastalık olup ilk kez 1977’de Birt ve arkadaşları tarafından tanımlanmıştır. Burada semptomdan tanıya gidilen bir hasta ve 1. derece yakını sunulmakta, ayırıcı tanıda düşünülmesi gereken hastalıklar tartışılmaktadır. Genellikle tekrarlayan pnömotorakslar sonrası tanı konulmaktadır. Genetik bir hastalık olması nedeniyle hasta ve yakınlarının takip ve tarama gereksinimlerinin önemi vurgulanmaktadır.

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1. Nickerson ML, Warren MB, Toro JR, Matrosova V, Glenn G, Turner ML, et al. Mutations in a novel gene lead to renal tumors, lung wall defects, and benign tumors of the hair follicle in patients with the Birt-Hogg-Dube syndrome. Cancer Cell 2002; 2: 157-64.

2. Cimsit C, Eryuksel E, Çimşit N, Olgun S, Seckin D, Saricam M, et al. Birt-hogg-dubé syndrome: CT findings of an under recognized disease requiring multidisciplinary approach. Respir Case Rep 5; 5-9.

3. Lopez V, Jorda E, Monteagodo C. Birt-Hogg-Dube syndrome: an up date. Actas Dermosifiliogr 2012; 103: 198- 206.

4. Menko FH, van Steensel MA, Giraud S, Friis-Hansen L, Richard S, Ungari S, et al. Birt-Hogg-Dubé syndrome: diagnosis and management. Lancet Oncol 2009; 10: 1199-206.

5. Toro JR, Wei MH, Glenn GM, Weinreich M, Toure O, Vocke C, et al. BHD mutations, clinical and molecular genetic investigations of Birt-Hogg-Dube syndrome: a new series of 50 families and a review of published reports. J Med Genet 2008; 45: 321-31.

6. Kunogi M, Kurihara M, Ikegami TS, Kobayashi T, Shindo N, Kumasaka T, et al. Clinical and genetic spectrum of BirtHogge-Dube syndrome patients in whom pneumothorax and/or multiple lung cysts are the presenting feature. J Med Genet 2010; 47: 281.

7. Leter EM, Koopmans AK, Gille JJP, van Os TAM, Vittoz GG, David EFL, et al. Birt-Hogg-Dube syndrome: clinical and genetic studies of 20 families. Soc Inv Derm 2008; 128: 45.

8. Toro JR, Glenn G, Duray P, Darling T, Weirich G, Zbar B, et al. Birt-Hogg-Dubé syndrome: a novel marker of renal neoplasia. Arch Dermatol 1999; 135(10): 1195.

9. Toro JR, Pautler SE, Stewart L, Glenn GM, Weinreich M, Toure O, et al. Lung cysts, spontaneous pneumothorax, and genetic associations in 89 families with Birt-HoggDubé syndrome. Am J Respir Crit Care Med 2007; 15; 175(10): 1044-53.

10. Schmidt LS, Nickerson ML, Warren MB, Glenn GM, Toro JR, Merino MJ, et al. Linehan WM. Germline BHDmutation spectrum and phenotype analysis of a large cohort of families with Birt-Hogg-Dubé syndrome. Am J Hum Genet 2005; 76(6): 1023-33.

11. Lindor NM, Hand J, Burch PA, Gibson LE. Birt-Hogg-Dube syndrome: an autosomal dominant disorder with predisposition to cancers of the renal, fibrofolliculomas, and focal cutaneous mucinosis. Int J Dermatol 2001; 40: 653- 6.

12. Furuya M, Tanaka R, Koga S, Yatabe Y, Gotoda H, Takagi S, et al. Pulmonary cysts of Birt-Hogg-Dube syndrome: a clinicopathologic and immunohistochemical study of 9 families. Am J Surg Pathol 2012; 36: 589-600.

13. Shvartsbeyn M, Mason AR, Bosenberg MW, Ko CJ. Perifollicular fibroma in Birt-Hogg-Dube syndrome: an association revisited. J Cutan Pathol 2012; 39: 675-9.
Tüberküloz ve Toraks-Cover
  • ISSN: 0494-1373
  • Yayın Aralığı: 4
  • Başlangıç: 1951
  • Yayıncı: Tuba Yıldırım
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