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ALPHA-1-ANTITRYPSIN DEFICIENCY (AATD)

ALPHA-1-ANTITRYPSIN DEFICIENCY (AATD)
ANTITRYPSIN; ALPHA(1)-ANTITRYPSIN DEFICIENCY; PROTEASE INHIBITOR 1
613490
OMIM = Online Mendelian Inheritance of Men
60
alpha-1-antitrypsin
14q32.13
E88.0
rare (1-5:10000)
autosomal recessive
mutation in the SERPINA1 gene
> 70 genetic variants (PI types) therapy: risks of smoking ! aggresive treatment of pulmonary infections enzyme replacement (pooled human blood or recombinant AAT) liver transplantation
Laboratory findings    alpha-1-Antitrypsin dec (serum)
    Transaminases (ASAT/ALAT) inc (plasma)
Symptoms    cholestasis
    cirrhosis or fibrosis of liver
    dyspnea
    emphysema
    failure to thrive
    gastrointestinal hemorrhage (bleeding)
    jaundice
    liver carcinoma
    liver failure
    liver involvement or dysfunction
    no clinical symptoms (probably)
    onset, adolescent
    onset, adulthood
    onset, neonatal
    pancreatitis
    pneumonia
    portal hypertension