Skip to main content
Thorax logoLink to Thorax
. 1989 Sep;44(9):758–759. doi: 10.1136/thx.44.9.758

Heterozygous FZ alpha 1 antitrypsin deficiency associated with severe emphysema and hepatic disease: case report and family study.

C P Kelly 1, D N Tyrrell 1, G S McDonald 1, D B Whitehouse 1, J S Prichard 1
PMCID: PMC462061  PMID: 2588214

Abstract

A patient with advanced emphysema and cor pulmonale had the changes of alpha 1 antitrypsin deficiency in a liver biopsy specimen and was shown to have the phenotype PiFZ. This case supports the contention that the F allele of alpha 1 antitrypsin predisposes to the development of emphysema, particularly when it occurs in conjunction with the Z allele.

Full text

PDF
758

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beckman G., Stjernberg N. L., Eklund A. Is the PiF allele of alpha 1-antitrypsin associated with pulmonary disease? Clin Genet. 1984 Jun;25(6):491–495. [PubMed] [Google Scholar]
  2. Brand B., Bezahler G. H., Gould R. Cirrhosis and heterozygous FZ alpha1-antitrypsin deficiency in an adult. Case report and review of the literature. Gastroenterology. 1974 Feb;66(2):264–268. [PubMed] [Google Scholar]
  3. Cockcroft D. W., Tennent R. K., Horne S. L. Pulmonary emphysema associated with the FZ alpha 1-antitrypsin phenotype. Can Med Assoc J. 1981 Mar 15;124(6):737–742. [PMC free article] [PubMed] [Google Scholar]
  4. Fagerhol M. K., Braend M. Serum prealbumin: polymorphism in man. Science. 1965 Aug 27;149(3687):986–987. doi: 10.1126/science.149.3687.986. [DOI] [PubMed] [Google Scholar]
  5. Fagerhol M. K. Le système des Pi, sa génétique et ses rapports avec les maladies. Poumon Coeur. 1971;27(1):41–51. [PubMed] [Google Scholar]
  6. Hutchison D. C., Tobin M. J., Cook P. J. Alpha 1 antitrypsin deficiency: clinical and physiological features in heterozygotes of Pi type SZ. A survey by the British Thoracic Association. Br J Dis Chest. 1983 Jan;77(1):28–34. doi: 10.1016/0007-0971(83)90003-7. [DOI] [PubMed] [Google Scholar]
  7. Sharp H. L., Bridges R. A., Krivit W., Freier E. F. Cirrhosis associated with alpha-1-antitrypsin deficiency: a previously unrecognized inherited disorder. J Lab Clin Med. 1969 Jun;73(6):934–939. [PubMed] [Google Scholar]
  8. Stockley R. A. alpha-1-Antitrypsin and the pathogenesis of emphysema. Lung. 1987;165(2):61–77. doi: 10.1007/BF02714424. [DOI] [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES