Combining clinical, radiological and genetic approaches to pneumothorax management.

Grimes, Hannah L; Holden, Simon; Babar, Judith; Karia, Sumit; Wetscherek, Maria Ta; Barker, Allanah; Herre, Jurgen; Knolle, Martin D et al. · Thorax · 2022

other · Level V

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Abstract

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.

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