Two Japanese Cases of Birt-Hogg-Dubé Syndrome with Pulmonary Cysts, Fibrofolliculomas, and Renal Cell Carcinomas

Birt-Hogg-Dubé syndrome (BHD) is a rare autosomal dominant inherited disease caused by a germline mutation in the folliculin gene mapped in the region of chromosome 17p11.2. BHD predisposes the patient to cutaneous fibrofolliculomas (FFs), pulmonary cysts (PCs), and renal cell carcinoma (RC). Here,...

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Main Authors: Yukako Murakami, Mari Wataya-Kaneda, Mari Tanaka, Aya Takahashi, Akira Tsujimura, Koji Inoue, Norio Nonomura, Ichiro Katayama
Format: Article
Language:English
Published: Karger Publishers 2014-02-01
Series:Case Reports in Dermatology
Subjects:
Online Access:http://www.karger.com/Article/FullText/358216
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author Yukako Murakami
Mari Wataya-Kaneda
Mari Tanaka
Aya Takahashi
Akira Tsujimura
Koji Inoue
Norio Nonomura
Ichiro Katayama
author_facet Yukako Murakami
Mari Wataya-Kaneda
Mari Tanaka
Aya Takahashi
Akira Tsujimura
Koji Inoue
Norio Nonomura
Ichiro Katayama
author_sort Yukako Murakami
collection DOAJ
description Birt-Hogg-Dubé syndrome (BHD) is a rare autosomal dominant inherited disease caused by a germline mutation in the folliculin gene mapped in the region of chromosome 17p11.2. BHD predisposes the patient to cutaneous fibrofolliculomas (FFs), pulmonary cysts (PCs), and renal cell carcinoma (RC). Here, we present two cases of BHD in Japanese patients. One patient was a 37-year-old female, and the other a 35-year-old male. Each of the patients was affected by all three symptoms of BHD. Both patients had unremarkable FFs, asymptomatic PCs, and asymptomatic RC. The presence of RC was revealed by abdominal ultrasonic examination. We also summarized the data from 62 Asian cases of BHD from the available literature and found that their FFs were unremarkable. In addition, the proportion of BHD patients with FF is smaller for Asian patients than it is for Caucasian patients. We also found that it is rare for BHD patients in Asia to show all three symptoms of BHD. Careful inspection of the skin as well as skin biopsies are important for the early detection of BHD cases in Asia.
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spelling doaj.art-676955aabfa5440698c4527c990e8d282022-12-21T18:32:19ZengKarger PublishersCase Reports in Dermatology1662-65672014-02-0161202810.1159/000358216358216Two Japanese Cases of Birt-Hogg-Dubé Syndrome with Pulmonary Cysts, Fibrofolliculomas, and Renal Cell CarcinomasYukako MurakamiMari Wataya-KanedaMari TanakaAya TakahashiAkira TsujimuraKoji InoueNorio NonomuraIchiro KatayamaBirt-Hogg-Dubé syndrome (BHD) is a rare autosomal dominant inherited disease caused by a germline mutation in the folliculin gene mapped in the region of chromosome 17p11.2. BHD predisposes the patient to cutaneous fibrofolliculomas (FFs), pulmonary cysts (PCs), and renal cell carcinoma (RC). Here, we present two cases of BHD in Japanese patients. One patient was a 37-year-old female, and the other a 35-year-old male. Each of the patients was affected by all three symptoms of BHD. Both patients had unremarkable FFs, asymptomatic PCs, and asymptomatic RC. The presence of RC was revealed by abdominal ultrasonic examination. We also summarized the data from 62 Asian cases of BHD from the available literature and found that their FFs were unremarkable. In addition, the proportion of BHD patients with FF is smaller for Asian patients than it is for Caucasian patients. We also found that it is rare for BHD patients in Asia to show all three symptoms of BHD. Careful inspection of the skin as well as skin biopsies are important for the early detection of BHD cases in Asia.http://www.karger.com/Article/FullText/358216FibrofolliculomaPulmonary cystRenal cell carcinomaBirt-Hogg-Dubé syndrome
spellingShingle Yukako Murakami
Mari Wataya-Kaneda
Mari Tanaka
Aya Takahashi
Akira Tsujimura
Koji Inoue
Norio Nonomura
Ichiro Katayama
Two Japanese Cases of Birt-Hogg-Dubé Syndrome with Pulmonary Cysts, Fibrofolliculomas, and Renal Cell Carcinomas
Case Reports in Dermatology
Fibrofolliculoma
Pulmonary cyst
Renal cell carcinoma
Birt-Hogg-Dubé syndrome
title Two Japanese Cases of Birt-Hogg-Dubé Syndrome with Pulmonary Cysts, Fibrofolliculomas, and Renal Cell Carcinomas
title_full Two Japanese Cases of Birt-Hogg-Dubé Syndrome with Pulmonary Cysts, Fibrofolliculomas, and Renal Cell Carcinomas
title_fullStr Two Japanese Cases of Birt-Hogg-Dubé Syndrome with Pulmonary Cysts, Fibrofolliculomas, and Renal Cell Carcinomas
title_full_unstemmed Two Japanese Cases of Birt-Hogg-Dubé Syndrome with Pulmonary Cysts, Fibrofolliculomas, and Renal Cell Carcinomas
title_short Two Japanese Cases of Birt-Hogg-Dubé Syndrome with Pulmonary Cysts, Fibrofolliculomas, and Renal Cell Carcinomas
title_sort two japanese cases of birt hogg dube syndrome with pulmonary cysts fibrofolliculomas and renal cell carcinomas
topic Fibrofolliculoma
Pulmonary cyst
Renal cell carcinoma
Birt-Hogg-Dubé syndrome
url http://www.karger.com/Article/FullText/358216
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