Two different manifestations of the same rare and lethal lung disease

The first patient was born spontaneously at 40 4/7 weeks of gestation after an uneventful pregnancy. The mother was G1/P1, the family history was unremarkable and the parents were not related. Apgar scores were 5, 2, and 4, at 1, 5, and 10 minutes, respectively, and the arterial umbilical cord pH was 7.38.