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Birt-Hogg-Dubé Syndrome, a Rare Case in Korea Confirmed by Genetic Analysis

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주제분류피부과학

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)

  1. Leter EM, "Birt-Hogg-Dubé syndrome: clinical and genetic studies of 20 families", J Invest Dermatol, 128, pp.45~49 (2008)
  2. Menko FH, "European BHD Consortium. Birt-Hogg-Dubé syndrome: diagnosis and management", Lancet Oncol, 10, pp.1199~1206 (2009)
  3. En Hyung Kim, "A Case of Birt-Hogg-Dube Syndrome", Journal of Korean Medical Science, 23(2), pp.332~335 (2008), 대한의학회
  4. 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)
  5. 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
  6. Maffé A, "Constitutional FLCN mutations in patients with suspected Birt-Hogg-Dubé syndrome ascertained for noncutaneous manifestations", Clin Genet, 79, pp.345~354 (2011)
  7. 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)
  8. 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)
  9. Kahle B, "Multiple mantleomas in Birt-Hogg-Dubé syndrome: successful therapy with CO2 laser", Hautarzt, 52, pp.43~46 (2001)
  10. Jacob CI, "Birt-Hogg-Dube syndrome: treatment of cutaneous manifestations with laser skin resurfacing", Arch Dermatol, 137, pp.98~99 (2001)
  11. Gambichler T, "Treatment of Birt-Hogg-Dubé syndrome with erbium:YAG laser", J Am Acad Dermatol, 43, pp.856~858 (2000)

관련 논문AI추천

Birt-Hogg-Dubé syndrome in Korean: clinicoradiologic features and long term follow-up김구환, 송준선, 송진우, 이주희, 전민주, 채은진, 최진호대한내과학회 · The Korean Journal of Internal Medicine2019 · 제34권 제4호천식 치료 중 우연히 발견된 Birt-Hogg-Dubé 증후군 1예김동현, 김영주, 김준호, 박경희, 박중원, 박혜정, 이재현, 이진성, 최종락대한 소아알레르기 호흡기학회 · Allergy Asthma & Respiratory Disease2015 · 제3권 제3호Birt-Hogg-Dubé Syndrome: Diagnostic Journey of Three Cases from Skin to GeneAsli Gorek Dilektasli, Eda Hasal, Emel Bulbul Baskan, Saduman Balaban Adim, Sebnem Ozemri Sag, Sehime Gulsun Temel, Seref Gul대한피부과학회 · Annals of Dermatology2022 · 제34권 제1호Folliculin 유전자 변이로 진단된 Birt-Hogg-Dubé 증후군 1예강민규, 기창석, 김영균, 박찬권, 윤승배, 이석종, 한대희대한내과학회 · 대한내과학회지2011 · 제81권 제1호한국인 Birt-Hogg-Dubé 증후군 환자의 분자유전학적 및 임상적 특징Choi Sun Mi, Cho Sung Im, Kim Jisoo G., Kim Man Jin, Lee Jee Soo, Park Sung Sup, Park Yongsook, Seong Moon-Woo, Sung Hobin대한진단검사의학회 · Laboratory Medicine Online2024 · 제14권 제2호Comment on “Birt-Hogg-Dubé syndrome in Korean: clinicoradiologic features and long term follow-up”Chih-Wei Sung, Hua-Ching Chang, Pai-Chien Chou대한내과학회 · The Korean Journal of Internal Medicine2020 · 제35권 제2호

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