Combining clinical, radiological and genetic approaches to pneumothorax management

被引:4
|
作者
Grimes, Hannah L. [1 ]
Holden, Simon [2 ]
Babar, Judith [3 ]
Karia, Sumit [3 ]
Wetscherek, Maria T. A. [3 ]
Barker, Allanah [3 ]
Herre, Jurgen [4 ]
Knolle, Martin D. [4 ]
Maher, Eamonn R. [5 ]
Marciniak, Stefan John [1 ,4 ,6 ,7 ]
机构
[1] Univ Cambridge, Med, Cambridge CB2 0XY, England
[2] Addenbrookes Hosp, Clin Genet, Cambridge, England
[3] Addenbrookes Hosp, Dept Radiol, Cambridge, England
[4] Addenbrookes Hosp, Cambridge, England
[5] Univ Cambridge, Clin Genet, Cambridge, England
[6] Univ Cambridge, Cambridge Inst Med Res CIMR, Cambridge, England
[7] Royal Papworth Hosp, Resp Med, Cambridge, England
关键词
pleural disease;
D O I
10.1136/thoraxjnl-2021-217210
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Familial spontaneous pneumothorax (FSP) accounts for 10% of primary spontaneous pneumothoraces. Appropriate investigation of FSP enables early diagnosis of serious monogenic diseases and the practice of precision medicine. Here, we show that a pneumothorax genetics multidisciplinary team (MDT) can efficiently diagnose a range of syndromic causes of FSP. A sizeable group (73.6%) of clinically unclassifiable FSPs remains. Using whole genome sequencing we demonstrate that most of these cases are not known monogenic disorders. Therefore, clinico-radiological assessment by an MDT has high sensitivity for currently known clinically important monogenic causes of FSP, which has relevance for the design of efficient pneumothorax services.
引用
收藏
页码:196 / 198
页数:3
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