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Case Reports in Pulmonology
Volume 2011 (2011), Article ID 414165, 3 pages
Case Report

A Young Man with Bilateral Spontaneous Pneumothorax

Catharina Hospital, Eindhoven, The Netherlands

Received 8 July 2011; Accepted 3 August 2011

Academic Editors: W. Kuschner and C. L. Ren

Copyright © 2011 Liese Lieve Willemien Verhaert. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Case. A 33-year-old male nonsmoker presented with sudden onset of dyspnoea and thoracic pain. Chest radiograph showed a left-sided pneumothorax. Few days later he developed a right-sided pneumothorax. He had a positive family history of pneumothorax. High-resolution computed tomography of the chest showed multiple pulmonary cysts predominantly located in the lower lung regions. We suspected Birt-Hogg-Dubé syndrome (BHD). Conclusion. Birt-Hogg-Dubé syndrome is a rare autosomal dominant inherited genodermatosis and characterised by clinical manifestations including hamartomas of the skin, renal tumors, and pulmonary cysts with spontaneous pneumothorax. BHD is probably underdiagnosed because of the wide variability in its clinical expression. It is important to recognize these patients because of the possibility of developing renal cancer.