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Living with Interstitial lung disease due to ABCA3 deficiency

A rare genetic lung disease from newborn breathing trouble to long-term lung disease in childhood.

Understanding Interstitial lung disease due to ABCA3 deficiency

Interstitial lung disease due to ABCA3 deficiency is a rare genetic respiratory disease with a wide range of effects on the lungs.

It can range from newborn respiratory distress to chronic interstitial lung disease in infancy or childhood. This includes long-lasting cough, fast breathing, shortness of breath, and repeated lung infections. Signs of breathing trouble include grunting, flaring nostrils, and bluish skin.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Breathing distress in newborns
  • Long-lasting cough
  • Fast breathing and shortness of breath
  • Repeated lung infections
  • Honeycomb-like changes in the lungs on scans
  • Thickened airway walls

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 ABCA3 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 genetic testing for the ABCA3 gene confirm the diagnosis?
Which lung tests are needed, and how often?
How can we lower the chance of lung infections?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Recessive
GenesABCA3

Changes in the ABCA3 gene cause this condition. It is inherited in an autosomal recessive pattern, meaning a child inherits a changed copy of the gene from each parent.

GeneticRespiratory

Also known as: abca3-related pulmonary surfactant metabolism dysfunction; interstitial lung disease due to abca3 (atp-binding cassette subfamily a member 3) deficiency; interstitial lung disease due to atp-binding cassette subfamily a member 3 deficiency; pulmonary alveolar proteinosis, congenital, 3; surfactant metabolism dysfunction, pulmonary, type 3

Patient organizations

Source: NIH GARD · Interstitial lung disease due to ABCA3 deficiencyGARD ID 17745 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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