Pleural covering effectively prevents recurrent pneumothoraxes in patients with Birt-Hogg-Dubé syndrome
Yuko Ishimarua Aiko Masunagaa Taiyo Komatsua Takashi Marutsukab Makoto Suzukic Takuro Sakagamia
aDepartment of Respiratory Medicine, Kumamoto University Hospital
bDepartment of Thoracic Surgery, Kumamoto Chuo Hospital
cDepartment of Thoracic Surgery, Kumamoto University Hospital
Patients with Birt-Hogg-Dubé (BHD) syndrome typically develop lung lesions in their 20s and have recurrent and refractory pneumothoraxes. The development of a pneumothorax interferes with the social life and quality of life of most patients. Herein, we report a series of four patients (three sisters and a cousin) in whom a family history of pneumothorax led to a diagnosis of BHD syndrome. In all of the patients, pleural covering was effective in preventing recurrent pneumothoraxes. Those patients who had had recurrence after thoracic drainage or bullectomy had no recurrence after pleural covering.
Our findings suggest that pleural covering might prevent the deterioration in quality of life associated with recurrent pneumothoraxes in patients with BHD syndrome.
Birt-Hogg-Dubé (BHD) syndrome Cystic lung disease Pneumothorax Pleural covering
Received 12 Oct 2022 / Accepted 30 Jan 2023
AJRS, 12(3): 164-169, 2023