ATP-binding cassette transporter A3 (ABCA3) mutation in a late preterm with respiratory distress syndrome.

Indian Pediatr

Department of Neonatology, Rainbow Childrens Hospital and Perinatal Center, Hyderabad, Andhra Pradesh, India. Correspondence to: Dr Preetham Kumar Poddutoor, Department of Neonatology, Rainbow Childrens Hospital and Perinatal Center, Hyderabad, Andhra Pradesh, India.

Published: July 2014

Background: Surfactant protein abnormalities are rare causes of respiratory distress syndrome.

Case Characteristics: A late preterm (36 wks) who presented with respiratory distress syndrome.

Observation: He was found to be a homozygous for a G to T transversion at the first base in intron 24, of ABCA3 gene which is necessary for lamellar body formation and surfactant production.

Outcome: He died of severe respiratory failure even after multiple doses of surfactants and ventilation.

Message: Surfactant deficiency with ABCA3 gene mutation needs to be suspected in late preterms who present with respiratory distress syndrome.

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Source
http://dx.doi.org/10.1007/s13312-014-0454-4DOI Listing

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