Article Text
Abstract
The term baby presented with respiratory distress with X-ray pictures consistent as hyaline membrane disease (HMD). Baby was ventilated and treated with surfactant. Because of the persistence of high ventilation needs with X-ray pictures consistent with HMD with a transient response to surfactant every time, the possibility of an inherited disorder of surfactant metabolism was kept. Whole-exome sequencing revealed a novel homozygous missense mutation in the gene for ATP binding cassette transporter protein A3. The baby died after 100 days of ventilation.
- pneumomediastinum
- neonatal and paediatric intensive care
- neonatal intensive care
- genetics
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Footnotes
Contributors NPG is involved with making diagnosis and writing manuscript. AB and VM helped in clinical management of case RP was involved in genetics part related to case.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Parent/guardian consent obatined.
Provenance and peer review Not commissioned; externally peer reviewed.