A case report of Birt–Hogg–Dubé syndrome associated with severe airway obstruction in a 62‐year‐old female smoker

Abstract Birt–Hogg–Dubé syndrome (BHD) typically does not manifest airway obstruction despite the presence of multiple lung cysts. However, the long‐term effects of cigarette smoking on lung function among individuals with BHD are unknown. We report a case of a smoking individual diagnosed with BHD...

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Main Authors: Kiyoshi Uemasu, Toru Nyunoya
Format: Article
Language:English
Published: Wiley 2024-03-01
Series:Respirology Case Reports
Subjects:
Online Access:https://doi.org/10.1002/rcr2.1327
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author Kiyoshi Uemasu
Toru Nyunoya
author_facet Kiyoshi Uemasu
Toru Nyunoya
author_sort Kiyoshi Uemasu
collection DOAJ
description Abstract Birt–Hogg–Dubé syndrome (BHD) typically does not manifest airway obstruction despite the presence of multiple lung cysts. However, the long‐term effects of cigarette smoking on lung function among individuals with BHD are unknown. We report a case of a smoking individual diagnosed with BHD syndrome complicated by spontaneous pneumothorax and severe airway obstruction. The patient presented with chronic dyspnea and productive cough. Further work‐up revealed severe obstructive airflow limitation, and multiple lung cysts in both lungs, accompanied centrilobular emphysematous changes. Genetic testing confirmed a heterozygous deletion of exons 6–8 in the folliculin gene, confirming the diagnosis of BHD.
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spelling doaj.art-a6779260d5234b64909e93814537c0622024-03-27T08:30:32ZengWileyRespirology Case Reports2051-33802024-03-01123n/an/a10.1002/rcr2.1327A case report of Birt–Hogg–Dubé syndrome associated with severe airway obstruction in a 62‐year‐old female smokerKiyoshi Uemasu0Toru Nyunoya1Department of Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USADepartment of Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USAAbstract Birt–Hogg–Dubé syndrome (BHD) typically does not manifest airway obstruction despite the presence of multiple lung cysts. However, the long‐term effects of cigarette smoking on lung function among individuals with BHD are unknown. We report a case of a smoking individual diagnosed with BHD syndrome complicated by spontaneous pneumothorax and severe airway obstruction. The patient presented with chronic dyspnea and productive cough. Further work‐up revealed severe obstructive airflow limitation, and multiple lung cysts in both lungs, accompanied centrilobular emphysematous changes. Genetic testing confirmed a heterozygous deletion of exons 6–8 in the folliculin gene, confirming the diagnosis of BHD.https://doi.org/10.1002/rcr2.1327Birt–Hogg–Dubé syndromecentrilobular emphysemachronic obstructive diseasefolliculinparaseptal emphysema
spellingShingle Kiyoshi Uemasu
Toru Nyunoya
A case report of Birt–Hogg–Dubé syndrome associated with severe airway obstruction in a 62‐year‐old female smoker
Respirology Case Reports
Birt–Hogg–Dubé syndrome
centrilobular emphysema
chronic obstructive disease
folliculin
paraseptal emphysema
title A case report of Birt–Hogg–Dubé syndrome associated with severe airway obstruction in a 62‐year‐old female smoker
title_full A case report of Birt–Hogg–Dubé syndrome associated with severe airway obstruction in a 62‐year‐old female smoker
title_fullStr A case report of Birt–Hogg–Dubé syndrome associated with severe airway obstruction in a 62‐year‐old female smoker
title_full_unstemmed A case report of Birt–Hogg–Dubé syndrome associated with severe airway obstruction in a 62‐year‐old female smoker
title_short A case report of Birt–Hogg–Dubé syndrome associated with severe airway obstruction in a 62‐year‐old female smoker
title_sort case report of birt hogg dube syndrome associated with severe airway obstruction in a 62 year old female smoker
topic Birt–Hogg–Dubé syndrome
centrilobular emphysema
chronic obstructive disease
folliculin
paraseptal emphysema
url https://doi.org/10.1002/rcr2.1327
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