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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]

Additional description

From GeneReviews
The clinical characteristics of Birt-Hogg-Dubé syndrome (BHDS) include cutaneous manifestations (fibrofolliculomas, acrochordons, angiofibromas, oral papules, cutaneous collagenomas, and epidermal cysts), pulmonary cysts / history of pneumothorax, renal cysts, and various types of renal tumors. Disease severity can vary significantly even within the same family. Skin lesions typically appear between the second and fourth decades of life and typically increase in size and number with age. Lung cysts are mainly in the basal lung regions; most individuals are asymptomatic but at high risk for spontaneous pneumothorax. Renal tumors can be bilateral and multifocal. The most common renal tumors are a hybrid of oncocytoma and chromophobe histologic cell types (oncocytic hybrid tumor); clear cell carcinoma and oncocytoma are also common.

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

Carlo MI
Hematol Oncol Clin North Am 2023 Oct;37(5):841-848. Epub 2023 May 29 doi: 10.1016/j.hoc.2023.04.013. PMID: 37258351
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
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
Trotman-Dickenson B
Eur J Radiol 2014 Jan;83(1):39-46. Epub 2013 Dec 4 doi: 10.1016/j.ejrad.2013.11.027. PMID: 24342705
Jarrett R, Walker L, Side L, Bowling J
Arch Dermatol 2009 Oct;145(10):1208. doi: 10.1001/archdermatol.2009.211. PMID: 19841421

Diagnosis

Ghosh S, Farver CF
Radiology 2022 Mar;302(3):514. Epub 2021 Nov 30 doi: 10.1148/radiol.2021211972. PMID: 34846202
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
McDermott C, Cullen J
QJM 2018 Aug 1;111(8):565-566. doi: 10.1093/qjmed/hcy079. PMID: 29669049
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
Czyzyk-Krzeska MF, McCormack FX
Fam Cancer 2013 Sep;12(3):355-6. doi: 10.1007/s10689-013-9679-y. PMID: 24072552Free PMC Article

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
Pimenta SP, Baldi BG, Nascimento EC, Mauad T, Kairalla RA, Carvalho CR
Clinics (Sao Paulo) 2012 Dec;67(12):1501-4. doi: 10.6061/clinics/2012(12)25. PMID: 23295609Free PMC Article

Prognosis

Hoppe BPC, Stoel BC, Postmus PE
Am J Respir Crit Care Med 2022 Jun 15;205(12):1474-1475. doi: 10.1164/rccm.202106-1382IM. PMID: 35452378
Cortes-Santiago N, Deutsch GH
Surg Pathol Clin 2020 Dec;13(4):643-655. Epub 2020 Oct 9 doi: 10.1016/j.path.2020.07.002. PMID: 33183725
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
Metwalli AR, Linehan WM
Curr Opin Urol 2014 Sep;24(5):466-73. doi: 10.1097/MOU.0000000000000094. PMID: 25014245Free PMC Article
Jarrett R, Walker L, Side L, Bowling J
Arch Dermatol 2009 Oct;145(10):1208. doi: 10.1001/archdermatol.2009.211. PMID: 19841421

Clinical prediction guides

Wu J, Lu J, Wu CL, Lu M
Semin Diagn Pathol 2024 May;41(3):119-124. Epub 2024 Jan 6 doi: 10.1053/j.semdp.2024.01.008. PMID: 38242750
Zaballos P, Gómez-Martín I, Martin JM, Bañuls J
Dermatol Clin 2018 Oct;36(4):397-412. Epub 2018 Aug 16 doi: 10.1016/j.det.2018.05.007. PMID: 30201149
Mohammed TL, Saettele MR, Saettele T, Patel V, Kanne JP
Curr Probl Diagn Radiol 2014 Sep-Oct;43(5):285-93. Epub 2014 Jun 3 doi: 10.1067/j.cpradiol.2014.04.005. PMID: 24932752
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
Seaman DM, Meyer CA, Gilman MD, McCormack FX
AJR Am J Roentgenol 2011 Jun;196(6):1305-11. doi: 10.2214/AJR.10.4420. PMID: 21606293

Recent systematic reviews

Alberto PL, Ashim S, Megan K, Wei Z, Nestor G, Matthew Z, Dayana M, Marcelo V, John W
Head Neck Pathol 2024 Nov 30;18(1):126. doi: 10.1007/s12105-024-01730-6. PMID: 39614964Free PMC Article
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
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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