RT Journal Article SR Electronic T1 Combined pulmonary fibrosis and emphysema syndrome associated with ABCA3 mutations JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP erj01452-2013 DO 10.1183/09031936.00145213 A1 Ralph Epaud A1 Céline Delestrain A1 Malek Louha A1 Stéphanie Simon A1 Pascale Fanen A1 Abdellatif Tazi YR 2013 UL http://erj.ersjournals.com/content/early/2013/10/16/09031936.00145213.abstract AB We report a case of extensive upper-lobe emphysema and lower-lobe pulmonary fibrosis consistent with combined pulmonary fibrosis and emphysema (CPFE) syndrome in a non-smoker adult patient. Sequence analysis of surfactant protein C gene (SFTPC, MIM 178620) and ATP-binding cassette subfamily A member 3 gene (ABCA3, MIM 601615) identified no mutation in SFTPC gene but compound heterozygosity in ABCA3 gene with c.3081_3092delinsCG, a new mutation, and the common mutation c.875A>T. This case suggests a potential contribution of surfactant metabolism dysfunction in the pathogenesis of this disorder.