Familial interstitial pneumonia in an adolescent boy with surfactant protein C gene (Y104H) mutation

N Kuse1, S Abe, H Hayashi

  • 1Internal Medicine, Department of Pulmonary Medicine/Infection and Oncology, Nippon Medical School, Tokyo, Japan.

Insights

Familial interstitial pneumonia can be linked to surfactant protein C (SFTPC) gene mutations. This case study highlights a rare SFTPC mutation in an adolescent, expanding the understanding of this genetic lung disease.

Area of Science:

  • Pulmonary Medicine
  • Genetics
  • Rare Diseases

Background:

  • Familial interstitial pneumonia (FIP) is a rare lung disease with a genetic component.
  • Mutations in the surfactant protein C (SFTPC) gene have been implicated in some FIP cases.
  • Idiopathic interstitial pneumonia (IIP) affects multiple generations within families.

Observation:

  • A case of FIP in an adolescent male with a family history of IIP is presented.
  • The patient was asymptomatic but had an abnormal chest shadow detected during a medical check-up.
  • Surgical lung biopsy revealed non-specific interstitial pneumonia (NSIP) with findings similar to his father's autopsy.

Findings:

  • Genomic DNA sequencing identified the Thy104His (Y104H) mutation in the SFTPC gene.
  • The patient was diagnosed with SFTPC mutation-associated familial interstitial pneumonia.
  • No clinical, physiological, or radiological progression was observed over four years post-diagnosis.

Implications:

  • This case expands the known spectrum of SFTPC mutations associated with interstitial pneumonia.
  • Understanding the relationship between clinical presentation and specific mutation sites is crucial.
  • Further research may elucidate the full range of SFTPC-related lung diseases and their management.

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