RT Journal Article SR Electronic T1 Novel homozygous missense mutation in ABCA3 protein leading to severe respiratory distress in term infant JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e235520 DO 10.1136/bcr-2020-235520 VO 13 IS 10 A1 Naveen Parkash Gupta A1 Anil Batra A1 Ratna Puri A1 Varun Meena YR 2020 UL http://casereports.bmj.com/content/13/10/e235520.abstract AB 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.