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Thorax 2009;64:440-443 doi:10.1136/thx.2008.099796
  • Case Report

Familial idiopathic pulmonary fibrosis in association with bone marrow hypoplasia and hepatic nodular regenerative hyperplasia: a new “trimorphic” syndrome

  1. A Talbot-Smith1,
  2. W-K Syn2,
  3. G MacQuillan3,
  4. D Neil2,
  5. E Elias2,
  6. P Ryan1
  1. 1
    Department of Respiratory Medicine, Hereford County Hospital, Hereford, UK
  2. 2
    Liver Unit, Queen Elizabeth Hospital, Birmingham, UK
  3. 3
    Sir Charles Gairdner Hospital, Perth, Western Australia, Australia
  1. Dr A Talbot-Smith, Department of Respiratory Medicine, Hereford County Hospital, Hereford HR1 2ER, UK; alistalb{at}hotmail.com
  • Received 21 April 2008
  • Accepted 14 September 2008

Abstract

This is the first report of familial idiopathic pulmonary fibrosis associated with hepatic nodular regenerative hyperplasia and bone marrow hypoplasia. Four members of one family presented with this triad of organ dysfunction. The response to immunosuppressive treatment was poor and all four members succumbed to the disease processes. The current literature is reviewed and mechanisms that could have been involved in the development of this new syndrome are proposed.

Footnotes

  • Competing interests: None.

  • Patient consent: Obtained from relatives of the patients.

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