4.7 Article

Case report of neurofibromatosis type 1 combined with primary ciliary dyskinesia

期刊

FRONTIERS OF MEDICINE
卷 15, 期 6, 页码 933-937

出版社

SPRINGER
DOI: 10.1007/s11684-021-0860-7

关键词

primary ciliary dyskinesia; neurofibromatosis; bronchiectasis; transmission electron microscopy; genetic sequencing

资金

  1. National Key Research and Development Program of China [2016YFC0901502]
  2. CAMS Innovation Fund for Medical Sciences [CIFMS-2018-I2M-1-003, CIFMS-2017-12M-2-001, CIFMS-2020-I2M-C, T-B-002, CIFMS-2016-I2M-1-002]

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Neurofibromatosis rarely involves the lungs, but in cases with lung involvement, other diagnoses such as primary ciliary dyskinesia (PCD) should be considered. Early-onset wet cough, bronchiectasis, and other symptoms may indicate the possibility of PCD.
Neurofibromatosis (NF) is a genetic disease in which the lungs are rarely involved. However, in NF cases with lung involvement, chest computed tomography may show bilateral basal reticulations, apical bullae, and cysts without bronchiectasis. Herein, we report a patient diagnosed with NF on the basis of the results of genetic testing who presented with early-onset wet cough and bronchiectasis. Considering the differential diagnosis of bronchiectasis combined with his early-onset wet cough, sinusitis, and sperm quality decline, we considered the possibility of primary ciliary dyskinesia (PCD). Further electron microscopy analysis of cilia and identification of homozygous mutations in the RSPH4A gene confirmed the diagnosis of PCD. Therefore, for patients with NF, when an image change exists in the lungs that does not correspond to NF, the possibility of other diagnoses, including PCD, must be considered.

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