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Surfactant Protein C Mutation-Associated Pulmonary Fibrosis

Imaging findings

High-resolution chest CT demonstrates extensive, diffuse cystic changes throughout both lungs, accompanied by traction bronchiectasis, marked architectural distortion, and diffuse reticulogranular or ground-glass opacities.

Key takeaways

Surfactant protein C mutations are rare genetic causes of childhood or young adult interstitial lung disease. Although often inherited in an autosomal dominant pattern with genetic anticipation (earlier and more severe onset in successive generations), sporadic de novo mutations can occur in patients with no family history of lung disease. Genetic testing, such as whole-exome sequencing, is valuable in young patients presenting with unclassifiable fibrosing interstitial lung disease.

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