Birt-Hogg-Dubé Syndrome, a Rare Case in Korea Confirmed by Genetic Analysis
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초록
Simple benign tumors can present as part of a syndrome with substantial mortality. Fibrofolliculomas are benign skin tumors most often associated with the Birt-Hogg-Dubésyndrome (BHDS). The most life-threatening complication of this syndrome is renal cancer and other major features include multiple lung cysts and spontaneous pneumothorax. We present the case of a 54 year-old man with multiple flesh-colored papules on his face confirmed histologically as fibrofolliculomas. He had a history of recurrent pneumothorax and chest computed tomography showed multiple lung cysts. To confirm the diagnosis of BHDS, we conducted gene analysis that revealed a single nucleotide duplication in the folliculin (FLCN) gene (Exon 11, C.1285dupC). BHDS confirmed by the FLCN gene mutation is rarely reported in Korea. Appropriate investigation is recommended whenever a patient with benign skin tumors is encountered. (Ann Dermatol 23(S2) S193∼S196, 2011)
Abstract
Simple benign tumors can present as part of a syndrome with substantial mortality. Fibrofolliculomas are benign skin tumors most often associated with the Birt-Hogg-Dubésyndrome (BHDS). The most life-threatening complication of this syndrome is renal cancer and other major features include multiple lung cysts and spontaneous pneumothorax. We present the case of a 54 year-old man with multiple flesh-colored papules on his face confirmed histologically as fibrofolliculomas. He had a history of recurrent pneumothorax and chest computed tomography showed multiple lung cysts. To confirm the diagnosis of BHDS, we conducted gene analysis that revealed a single nucleotide duplication in the folliculin (FLCN) gene (Exon 11, C.1285dupC). BHDS confirmed by the FLCN gene mutation is rarely reported in Korea. Appropriate investigation is recommended whenever a patient with benign skin tumors is encountered. (Ann Dermatol 23(S2) S193∼S196, 2011)
참고문헌 (11)
- Leter EM, "Birt-Hogg-Dubé syndrome: clinical and genetic studies of 20 families", J Invest Dermatol, 128, pp.45~49 (2008)
- Menko FH, "European BHD Consortium. Birt-Hogg-Dubé syndrome: diagnosis and management", Lancet Oncol, 10, pp.1199~1206 (2009)
- En Hyung Kim, "A Case of Birt-Hogg-Dube Syndrome", Journal of Korean Medical Science, 23(2), pp.332~335 (2008), 대한의학회
- Schmidt LS, "Germline BHD-mutation spectrum and phenotype analysis of a large cohort of families with Birt-Hogg-Dubé syndrome", Am J Hum Genet, 76, pp.1023~1033 (2005)
- Kunogi M, "Clinical and genetic spectrum of Birt-Hogg-Dube syndrome patients in whom pneumothorax and", or multiple lung cysts are the presenting feature, 2010, pp.47, 281~287
- Maffé A, "Constitutional FLCN mutations in patients with suspected Birt-Hogg-Dubé syndrome ascertained for noncutaneous manifestations", Clin Genet, 79, pp.345~354 (2011)
- Zbar B, "Risk of renal and colonic neoplasms and spontaneous pneumothorax in the Birt-Hogg-Dubé syndrome", Cancer Epidemiol Biomarkers Prev, 11, pp.393~400 (2002)
- Vincent A, "Birt-Hogg-Dubé syndrome: a review of the literature and the differential diagnosis of firm facial papules", J Am Acad Dermatol, 49, pp.698~705 (2003)
- Kahle B, "Multiple mantleomas in Birt-Hogg-Dubé syndrome: successful therapy with CO2 laser", Hautarzt, 52, pp.43~46 (2001)
- Jacob CI, "Birt-Hogg-Dube syndrome: treatment of cutaneous manifestations with laser skin resurfacing", Arch Dermatol, 137, pp.98~99 (2001)
- Gambichler T, "Treatment of Birt-Hogg-Dubé syndrome with erbium:YAG laser", J Am Acad Dermatol, 43, pp.856~858 (2000)
