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Birt-Hogg-Dube syndrome 1(BHD1)

MedGen UID:
1051978
Concept ID:
CN375946
Disease or Syndrome
Synonyms: BHD1; FIBROFOLLICULOMAS WITH TRICHODISCOMAS AND ACROCHORDONS
 
Gene (location): FLCN (17p11.2)
 
Monarch Initiative: MONDO:0800445
OMIM®: 135150

Definition

Any Birt-Hogg-Dube (BHD) syndrome in which the cause of the disease is a variation in the FLCN gene. [from MONDO]

Clinical features

From HPO
Renal cell carcinoma
MedGen UID:
766
Concept ID:
C0007134
Neoplastic Process
A type of carcinoma of the kidney with origin in the epithelium of the proximal convoluted renal tubule.
Renal neoplasm
MedGen UID:
5967
Concept ID:
C0022665
Neoplastic Process
The presence of a neoplasm of the kidney.
Fibrofolliculoma
MedGen UID:
138032
Concept ID:
C0346011
Neoplastic Process
Fibrofolliculoma is a clinically asymptomatic, 2-4 mm, skin-colored, dome-shaped smooth papule. It usually arises in the form of multiple lesions in adults in different areas such as the scalp, forehead, face, and neck. According to histology, the lesion is a fibrotic hamartoma characterized by infundibular epithelial proliferation and perifollicular fibrous proliferation.
Cutaneous leiomyoma
MedGen UID:
87533
Concept ID:
C0346064
Neoplastic Process
The presence of leiomyoma of the skin.
Cutaneous leiomyosarcoma
MedGen UID:
87534
Concept ID:
C0346067
Neoplastic Process
The presence of leiomyosarcoma of the skin.
Multiple lipomas
MedGen UID:
677074
Concept ID:
C0745730
Finding
The presence of multiple lipomas (a type of benign tissue made of fatty tissue).
Renal cyst
MedGen UID:
854361
Concept ID:
C3887499
Disease or Syndrome
A fluid filled sac in the kidney.
Colon cancer
MedGen UID:
2839
Concept ID:
C0007102
Neoplastic Process
A primary or metastatic malignant neoplasm that affects the colon. Representative examples include carcinoma, lymphoma, and sarcoma.
Large intestinal polyposis
MedGen UID:
868164
Concept ID:
C4022556
Disease or Syndrome
The presence of multiple polyps in the large intestine.
Spontaneous pneumothorax
MedGen UID:
57701
Concept ID:
C0149781
Disease or Syndrome
Pneumothorax occurring without traumatic injury to the chest or lung.
Cystic disease of lung
MedGen UID:
640840
Concept ID:
C0555214
Anatomical Abnormality
Polycystic lung disease (PCLUD) is an autosomal recessive disorder characterized by childhood-onset exertional dyspnea and cough due to progressive airflow obstruction in the lungs. Pulmonary imaging shows diffuse lung disease with pleural and subpleural cysts and peripheral consolidations, and lung biopsy shows bronchiolitis and lymphocytosis of the terminal bronchioles, often with features of pulmonary alveolar proteinosis (PAP). Most affected individuals have recurrent respiratory infections; some have an adverse response to BCG vaccination. Additional features may include digital clubbing, allergies, and atopic dermatitis (et al., 2024).
Sebaceous hyperplasia
MedGen UID:
98352
Concept ID:
C0406484
Disease or Syndrome
A common, benign skin condition involving hypertrophy of the sebaceous glands characterized by single or multiple lesions that manifest as yellow, soft, small papules with umbilication. The lesions are located commonly on the central face (specifically, the nose, cheeks and forehead) but may also occur elsewhere, including the chest, mouth, scrotum, foreskin, penile shaft, vulva, and areola.
Trichodiscoma
MedGen UID:
352818
Concept ID:
C1704237
Neoplastic Process
A small benign fibrovascular tumor of the dermal part of the hair disk. Trichodiscoma is rather simple in appearance and consists of a dome-shaped fibrous tumor with a prominent vascular component that fills the papillary dermis under an atrophic epidermis. As in a normal hair disk, a hair follicle may be present at one edge of the papular lesion.

Term Hierarchy

Professional guidelines

PubMed

Johnson SR, Shaw DE, Avoseh M, Soomro I, Pointon KS, Kokosi M, Nicholson AG, Desai SR, George PM
Thorax 2024 Mar 15;79(4):366-377. doi: 10.1136/thorax-2022-219738. PMID: 38182428
Wong A, Galiabovitch E, Bhagwat K
ANZ J Surg 2019 Apr;89(4):303-308. Epub 2018 Jul 5 doi: 10.1111/ans.14713. PMID: 29974615
Menko FH, van Steensel MA, Giraud S, Friis-Hansen L, Richard S, Ungari S, Nordenskjöld M, Hansen TV, Solly J, Maher ER; European BHD Consortium
Lancet Oncol 2009 Dec;10(12):1199-206. doi: 10.1016/S1470-2045(09)70188-3. PMID: 19959076

Recent clinical studies

Etiology

Cabeza Martínez B, Giménez Palleiro A, Mazzini Florindez SP
Radiologia (Engl Ed) 2022 Dec;64 Suppl 3:265-276. doi: 10.1016/j.rxeng.2022.09.005. PMID: 36737165
Steinlein OK, Ertl-Wagner B, Ruzicka T, Sattler EC
J Dtsch Dermatol Ges 2018 Mar;16(3):278-283. doi: 10.1111/ddg.13457. PMID: 29537177
Dal Sasso AA, Belém LC, Zanetti G, Souza CA, Escuissato DL, Irion KL, Guimarães MD, Marchiori E
Respir Med 2015 Mar;109(3):289-96. Epub 2014 Dec 9 doi: 10.1016/j.rmed.2014.11.008. PMID: 25519092
Lencastre A, Ponte P, Apetato M, Nunes L, Lestre S
An Bras Dermatol 2013 Nov-Dec;88(6 Suppl 1):203-5. doi: 10.1590/abd1806-4841.20132199. PMID: 24346920Free PMC Article
Vernooij M, Claessens T, Luijten M, van Steensel MA, Coull BJ
Fam Cancer 2013 Sep;12(3):381-5. doi: 10.1007/s10689-013-9600-8. PMID: 23307118

Diagnosis

Koslow M, Lynch DA, Cool CD, Groshong SD, Downey GP
Immunol Allergy Clin North Am 2023 May;43(2):359-377. doi: 10.1016/j.iac.2023.01.003. PMID: 37055093Free PMC Article
Cabeza Martínez B, Giménez Palleiro A, Mazzini Florindez SP
Radiologia (Engl Ed) 2022 Dec;64 Suppl 3:265-276. doi: 10.1016/j.rxeng.2022.09.005. PMID: 36737165
Boone PM, Scott RM, Marciniak SJ, Henske EP, Raby BA
Am J Respir Crit Care Med 2019 Jun 1;199(11):1344-1357. doi: 10.1164/rccm.201807-1212CI. PMID: 30681372Free PMC Article
Raoof S, Bondalapati P, Vydyula R, Ryu JH, Gupta N, Raoof S, Galvin J, Rosen MJ, Lynch D, Travis W, Mehta S, Lazzaro R, Naidich D
Chest 2016 Oct;150(4):945-965. Epub 2016 May 13 doi: 10.1016/j.chest.2016.04.026. PMID: 27180915Free PMC Article
Menko FH, van Steensel MA, Giraud S, Friis-Hansen L, Richard S, Ungari S, Nordenskjöld M, Hansen TV, Solly J, Maher ER; European BHD Consortium
Lancet Oncol 2009 Dec;10(12):1199-206. doi: 10.1016/S1470-2045(09)70188-3. PMID: 19959076

Therapy

van Riel L, van Hulst RA, van Hest L, van Moorselaar R, Boerrigter BG, Franken SM, Wolthuis R, Dubbink HJ, Marciniak SJ, Gupta N, van de Beek I, Houweling AC
Expert Rev Respir Med 2023 Jul-Dec;17(11):1003-1008. Epub 2023 Dec 26 doi: 10.1080/17476348.2023.2284375. PMID: 37991821Free PMC Article
Obaidat B, Yazdani D, Wikenheiser-Brokamp KA, Gupta N
Respir Care 2020 Jan;65(1):111-126. Epub 2019 Oct 15 doi: 10.4187/respcare.07117. PMID: 31615921
Wong A, Galiabovitch E, Bhagwat K
ANZ J Surg 2019 Apr;89(4):303-308. Epub 2018 Jul 5 doi: 10.1111/ans.14713. PMID: 29974615
Hasumi H, Baba M, Hasumi Y, Furuya M, Yao M
Int J Urol 2016 Mar;23(3):204-10. Epub 2015 Nov 25 doi: 10.1111/iju.13015. PMID: 26608100
Richards JC, Lynch DA, Chung JH
Clin Chest Med 2015 Jun;36(2):299-312, ix. Epub 2015 Apr 2 doi: 10.1016/j.ccm.2015.02.011. PMID: 26024606

Prognosis

Bird LM, Kuo DJ, Masser-Frye D, Mo JQ, Elster JD
J Pediatr Hematol Oncol 2020 Mar;42(2):136-137. doi: 10.1097/MPH.0000000000001715. PMID: 31929385
Wong A, Galiabovitch E, Bhagwat K
ANZ J Surg 2019 Apr;89(4):303-308. Epub 2018 Jul 5 doi: 10.1111/ans.14713. PMID: 29974615
Steinlein OK, Ertl-Wagner B, Ruzicka T, Sattler EC
J Dtsch Dermatol Ges 2018 Mar;16(3):278-283. doi: 10.1111/ddg.13457. PMID: 29537177
Hasumi H, Baba M, Hasumi Y, Furuya M, Yao M
Int J Urol 2016 Mar;23(3):204-10. Epub 2015 Nov 25 doi: 10.1111/iju.13015. PMID: 26608100
Kuroda N, Furuya M, Nagashima Y, Gotohda H, Kawakami F, Moritani S, Ota S, Hora M, Michal M, Hes O, Nakatani Y
Pol J Pathol 2014 Jun;65(2):93-9. doi: 10.5114/pjp.2014.43958. PMID: 25119168

Clinical prediction guides

Lin Y, Guo T, Lei C, Yang B, Yang D, Luo H, Peng H
BMC Pulm Med 2023 Nov 22;23(1):460. doi: 10.1186/s12890-023-02680-5. PMID: 37993820Free PMC Article
Hu X, Zhang G, Chen X, Xu KF
Orphanet J Rare Dis 2021 May 17;16(1):223. doi: 10.1186/s13023-021-01848-8. PMID: 34001170Free PMC Article
Tong Y, Schneider JA, Coda AB, Hata TR, Cohen PR
Am J Clin Dermatol 2018 Feb;19(1):87-101. doi: 10.1007/s40257-017-0307-8. PMID: 28695430
Kuroda N, Furuya M, Nagashima Y, Gotohda H, Kawakami F, Moritani S, Ota S, Hora M, Michal M, Hes O, Nakatani Y
Pol J Pathol 2014 Jun;65(2):93-9. doi: 10.5114/pjp.2014.43958. PMID: 25119168
Lencastre A, Ponte P, Apetato M, Nunes L, Lestre S
An Bras Dermatol 2013 Nov-Dec;88(6 Suppl 1):203-5. doi: 10.1590/abd1806-4841.20132199. PMID: 24346920Free PMC Article

Recent systematic reviews

Peraza Labrador A, Umorin M, Shrestha M, Abad Villacrez C, Wright J
Head Neck Pathol 2024 Jun 19;18(1):52. doi: 10.1007/s12105-024-01657-y. PMID: 38896302Free PMC Article
Zhang H, Andreou A, Bhatt R, Whitworth J, Yngvadottir B, Maher ER
Eur J Hum Genet 2024 Aug;32(8):887-894. Epub 2024 May 27 doi: 10.1038/s41431-024-01628-5. PMID: 38802529Free PMC Article
Matsumoto K, Lim D, Pharoah PD, Maher ER, Marciniak SJ
Eur J Hum Genet 2021 Nov;29(11):1595-1600. Epub 2021 Jul 15 doi: 10.1038/s41431-021-00921-x. PMID: 34267338Free PMC Article
Carlo MI, Hakimi AA, Stewart GD, Bratslavsky G, Brugarolas J, Chen YB, Linehan WM, Maher ER, Merino MJ, Offit K, Reuter VE, Shuch B, Coleman JA
Eur Urol 2019 Dec;76(6):754-764. Epub 2019 Jul 18 doi: 10.1016/j.eururo.2019.06.015. PMID: 31326218Free PMC Article
Verine J, Pluvinage A, Bousquet G, Lehmann-Che J, de Bazelaire C, Soufir N, Mongiat-Artus P
Eur Urol 2010 Nov;58(5):701-10. Epub 2010 Aug 27 doi: 10.1016/j.eururo.2010.08.031. PMID: 20817385

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