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Pericardial Cyst in Birt-Hogg-Dubé Syndrome: An Unexpected Discovery
Birt-Hogg-Dubé syndrome (BHD) is a genetic disorder typically characterized by pulmonary cysts, cutaneous fibrofolliculomas, and renal tumors. We report a case of an 87-year-old male patient with a known diagnosis of BHD and a large pericardial cyst who presented to the emergency room with chest pai...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359194/ https://www.ncbi.nlm.nih.gov/pubmed/37484785 http://dx.doi.org/10.7759/cureus.41728 |
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author | Arora, Gagandeep Singh Ghosh, Sudeshna Singh, Jarmanjeet |
author_facet | Arora, Gagandeep Singh Ghosh, Sudeshna Singh, Jarmanjeet |
author_sort | Arora, Gagandeep Singh |
collection | PubMed |
description | Birt-Hogg-Dubé syndrome (BHD) is a genetic disorder typically characterized by pulmonary cysts, cutaneous fibrofolliculomas, and renal tumors. We report a case of an 87-year-old male patient with a known diagnosis of BHD and a large pericardial cyst who presented to the emergency room with chest pain. BHD is classically associated with pulmonary cysts and not pericardial cysts. In this report, we highlight the potential of pericardial cysts to independently cause retrosternal pain resembling angina, while also mentioning that BHD too can cause chest pain through the rupture of a pulmonary cyst leading to spontaneous pneumothorax. In our case, coronary angiography revealed non-obstructive coronary arteries, so the cause of chest pain was attributed to myocardial infarction with non-obstructive coronary arteries (MINOCA). Atypical causes of chest pain should be considered, especially in patients with diagnosed genetic syndromes. |
format | Online Article Text |
id | pubmed-10359194 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-103591942023-07-22 Pericardial Cyst in Birt-Hogg-Dubé Syndrome: An Unexpected Discovery Arora, Gagandeep Singh Ghosh, Sudeshna Singh, Jarmanjeet Cureus Cardiac/Thoracic/Vascular Surgery Birt-Hogg-Dubé syndrome (BHD) is a genetic disorder typically characterized by pulmonary cysts, cutaneous fibrofolliculomas, and renal tumors. We report a case of an 87-year-old male patient with a known diagnosis of BHD and a large pericardial cyst who presented to the emergency room with chest pain. BHD is classically associated with pulmonary cysts and not pericardial cysts. In this report, we highlight the potential of pericardial cysts to independently cause retrosternal pain resembling angina, while also mentioning that BHD too can cause chest pain through the rupture of a pulmonary cyst leading to spontaneous pneumothorax. In our case, coronary angiography revealed non-obstructive coronary arteries, so the cause of chest pain was attributed to myocardial infarction with non-obstructive coronary arteries (MINOCA). Atypical causes of chest pain should be considered, especially in patients with diagnosed genetic syndromes. Cureus 2023-07-11 /pmc/articles/PMC10359194/ /pubmed/37484785 http://dx.doi.org/10.7759/cureus.41728 Text en Copyright © 2023, Arora et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiac/Thoracic/Vascular Surgery Arora, Gagandeep Singh Ghosh, Sudeshna Singh, Jarmanjeet Pericardial Cyst in Birt-Hogg-Dubé Syndrome: An Unexpected Discovery |
title | Pericardial Cyst in Birt-Hogg-Dubé Syndrome: An Unexpected Discovery |
title_full | Pericardial Cyst in Birt-Hogg-Dubé Syndrome: An Unexpected Discovery |
title_fullStr | Pericardial Cyst in Birt-Hogg-Dubé Syndrome: An Unexpected Discovery |
title_full_unstemmed | Pericardial Cyst in Birt-Hogg-Dubé Syndrome: An Unexpected Discovery |
title_short | Pericardial Cyst in Birt-Hogg-Dubé Syndrome: An Unexpected Discovery |
title_sort | pericardial cyst in birt-hogg-dubé syndrome: an unexpected discovery |
topic | Cardiac/Thoracic/Vascular Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359194/ https://www.ncbi.nlm.nih.gov/pubmed/37484785 http://dx.doi.org/10.7759/cureus.41728 |
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