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Living with Chronic respiratory distress with surfactant metabolism deficiency

A rare genetic lung disease with a wide range of effects, from breathing trouble in newborns to scarring lung disease at other ages.

Understanding Chronic respiratory distress with surfactant metabolism deficiency

Chronic respiratory distress with surfactant metabolism deficiency is a rare genetic interstitial lung disease with highly variable symptoms.

It ranges from respiratory distress in newborns to mild or severe interstitial lung disease. A lung biopsy shows damage, thickening, and scarring in the lung tissue. Imaging shows cystic spaces and a hazy, ground-glass look. GARD lists onset at any time in life.

Signs & symptoms

Symptoms vary from person to person. GARD says typical symptoms include:

  • Cough
  • Fast breathing
  • Low oxygen levels
  • Clubbing of the fingers
  • Crackling sounds in the lungs
  • Poor growth (failure to thrive)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and lung and breathing specialists.

  3. Consider genetic testing

    Changes in SFTPC are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Children's Interstitial Lung Disease Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Lung and breathing specialists (pulmonologists)
Expert care
Expert lists: Children's Interstitial Lung Disease Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Children's Interstitial Lung Disease Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can SFTPC genetic testing confirm the diagnosis?
How often should lung function and imaging be checked?
Should family members be tested?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant
GenesSFTPC

GARD says changes in the SFTPC gene cause this condition. It is autosomal dominant, so one changed copy of the gene can be enough.

GeneticRespiratory

Patient organizations

Source: NIH GARD · Chronic respiratory distress with surfactant metabolism deficiencyGARD ID 17127 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Chronic respiratory distress with surfactant metabolism deficiency.

Explore the Chronic respiratory distress with surfactant metabolism deficiency blog

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