RT Journal Article SR Electronic T1 Methionyl-tRNA synthetase novel mutation causes pulmonary alveolar proteinosis JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 195 OP 198 DO 10.15537/smj.2019.2.23908 VO 40 IS 2 A1 Mohammed Alzaid A1 Abdullah Alshamrani A1 Adel S. Al Harbi A1 Ayed Alenzi A1 Sarar Mohamed YR 2019 UL http://smj.org.sa/content/40/2/195.abstract AB The methionyl-tRNA synthetase (MARS) mutation is a very rare cause of congenital pulmonary alveolar proteinosis. We report a 6-month-old boy born with symmetrical intrauterine growth retardation presented with unexplained persistent tachypnea and hypoxemia associated with severe failure to thrive, anemia, hypoalbuminemia and hepatomegaly. Detailed pulmonary investigations including computed tomography chest scan, bronchoscopy and bronchoalveolar lavage revealed pulmonary alveolar proteinosis. Whole exome sequencing identified a homozygous novel variant in the MARS gene, c.854T>C p.(Ile285Thr).