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Familial interstitial pneumonia in an adolescent boy with surfactant protein C gene (Y104H) mutation
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.
Abstract:
Recent studies have suggested that some cases of familial interstitial pneumonia are associated with mutations in the gene encoding surfactant protein C (SFTPC). We report here a case of familial interstitial pneumonia in an adolescent boy whose paternal grandfather and father suffered from idiopathic interstitial pneumonia (IIP). The patient was asymptomatic but showed an abnormal shadow in the chest at his medical check-up. The surgical biopsy of the patient revealed non-specific interstitial pneumonia and showed pathological findings similar to those in his father's autopsy. Genomic DNA from blood leucocytes of the patient was sequenced for the Thy104His (Y104H) SFTPC mutation. Based on these results, he was diagnosed with SFTPC mutation-associated familial interstitial pneumonia. There has been no clinical, physiologic and radiologic progression for 4 years since the diagnosis. The relation between clinical manifestation and the mutation site of the patient may broaden the spectrum of SFTPC mutation-associated interstitial pneumonia.
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