Familial spontaneous pneumothorax

Hsienchang Thomas Chiu, Christine Kim Garcia

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

PURPOSE OF REVIEW: Over 10% of patients with primary spontaneous pneumothorax report a positive family history of the disease. While some cases can be attributed to rare inherited connective tissue diseases, several families with familial spontaneous pneumothorax have been described that do not show clinical evidence of these monogenic disorders. Until recently the molecular underpinning of this disease was unknown. RECENT FINDINGS: In the last 18 months, mutations in the gene encoding folliculin (FLCN) have been identified in individuals with familial spontaneous pneumothorax. Mutations in this gene were known previously to cause a rare skin disease, Birt-Hogg-Dubé syndrome, an autosomal dominantly inherited disease characterized by benign skin tumors, diverse types of renal cancer, pulmonary cysts, and spontaneous pneumothorax. Two animal models and studies of renal cancers support a tumor-suppressor function for folliculin. The presence of thin-walled cysts in basilar and subpleural locations of the lung is a feature of this disease. Most families display reduced penetrance of the pneumothorax phenotype. Several individuals with a family history of spontaneous pneumothorax have a mutation in the folliculin gene. SUMMARY: A significant fraction of families with familial spontaneous pneumothorax have mutations in the folliculin gene and should be considered a forme fruste of Birt-Hogg-Dubé syndrome.

Original languageEnglish (US)
Pages (from-to)268-272
Number of pages5
JournalCurrent Opinion in Pulmonary Medicine
Volume12
Issue number4
DOIs
StatePublished - Jul 2006

Fingerprint

Pneumothorax
Estrone
Mutation
Kidney Neoplasms
Genes
Cysts
Lung
Connective Tissue Diseases
Penetrance
Rare Diseases
Skin Diseases
Neoplasms
Animal Models
Phenotype
Skin

Keywords

  • Birt-Hogg-Dubé syndrome
  • Familial spontaneous pneumothorax
  • Folliculin

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Familial spontaneous pneumothorax. / Chiu, Hsienchang Thomas; Garcia, Christine Kim.

In: Current Opinion in Pulmonary Medicine, Vol. 12, No. 4, 07.2006, p. 268-272.

Research output: Contribution to journalArticle

Chiu, Hsienchang Thomas ; Garcia, Christine Kim. / Familial spontaneous pneumothorax. In: Current Opinion in Pulmonary Medicine. 2006 ; Vol. 12, No. 4. pp. 268-272.
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