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. 1975 Aug;28(8):613–619. doi: 10.1136/jcp.28.8.613

Adult alpha1-antitrypsin deficiency.

E C Sweeney
PMCID: PMC475788  PMID: 1081100

Abstract

Three adults with alpha 1-antitrypsin deficiency are described. In two of the cases the deficiency was genetically determined (cases 1 and 2), and each demonstrated unusual features of the disease. The liver in case 1 (homozygous) showed cholangiolar hyperplasia which has been recorded only once before. Case 2 (heterozygous) had emphysema and cirrhosis, a combination not previously documented in a heterozygote, in addition to malabsorption. Case 3 represents a case of spurious alpha 1-antitrypsin deficiency with cirrhosis included to emphasize the diagnostic improtance of phenotyping in such cases.

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Selected References

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  1. Babb R. R., Lillington G. A., Kempson R. L. Cirrhosis in an adult with emphysema and alpha 1-antitrypsin deficiency. Am J Dig Dis. 1973 Sep;18(9):803–807. doi: 10.1007/BF01070852. [DOI] [PubMed] [Google Scholar]
  2. Bayless T. M., Kapelowitz R. F., Shelley W. M., Ballinger W. F., 2nd, Hendrix T. R. Intestinal ulceration--a complication of celiac disease. N Engl J Med. 1967 May 4;276(18):996–1002. doi: 10.1056/NEJM196705042761802. [DOI] [PubMed] [Google Scholar]
  3. Berg N. O., Eriksson S. Liver disease in adults with alpha-1 -antitrypsin deficiency. N Engl J Med. 1972 Dec 21;287(25):1264–1267. doi: 10.1056/NEJM197212212872502. [DOI] [PubMed] [Google Scholar]
  4. 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]
  5. Campra J. L., Craig J. R., Peters R. L., Reynolds T. B. Cirrhosis associated with partial deficiency of alpha-1 antitrypsin in an adult. Ann Intern Med. 1973 Feb;78(2):233–238. doi: 10.7326/0003-4819-78-2-233. [DOI] [PubMed] [Google Scholar]
  6. Cohen K. L., Rubin P. E., Echevarria R. A., Sharp H. L., Teague P. O. Alpha-1 antitrypsin deficiency, emphysema, and cirrhosis in an adult. Ann Intern Med. 1973 Feb;78(2):227–232. doi: 10.7326/0003-4819-78-2-227. [DOI] [PubMed] [Google Scholar]
  7. Cook P. J. Genetic aspects of the Pi system. Postgrad Med J. 1974 Jun;50(584):362–364. doi: 10.1136/pgmj.50.584.362. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. ERIKSSON S. PULMONARY EMPHYSEMA AND ALPHA1-ANTITRYPSIN DEFICIENCY. Acta Med Scand. 1964 Feb;175:197–205. doi: 10.1111/j.0954-6820.1964.tb00567.x. [DOI] [PubMed] [Google Scholar]
  9. 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]
  10. Gherardi G. J. Alpha-1-antitrypsin deficiency and its effect on the liver. Hum Pathol. 1971 Mar;2(1):173–175. doi: 10.1016/s0046-8177(71)80026-6. [DOI] [PubMed] [Google Scholar]
  11. Gordon H. W., Dixon J., Rogers J. C., Mittman C., Lieberman J. Alpha 1 -antitrypsin (A1AT) accumulation in livers of emphysematous patients with A1AT deficiency. Hum Pathol. 1972 Sep;3(3):361–370. doi: 10.1016/s0046-8177(72)80037-6. [DOI] [PubMed] [Google Scholar]
  12. Greenwald A. J., Johnson D. S., Oskvig R. M., Aschenbrener C. A., Randa D. C. Alpha-1-antitrypsin deficiency, emphysema, cirrhosis, and intestinal mucosal atrophy. JAMA. 1975 Jan 20;231(3):273–276. [PubMed] [Google Scholar]
  13. Hobbs J. R. Deficiency of 1 -antitrypsin. J Clin Pathol. 1971 Jul;24(5):482–483. doi: 10.1136/jcp.24.5.482-c. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Ishak K. G., Jenis E. H., Marshall M. L., Bolton B. H., Battistone G. C. Cirrhosis of the liver associated with 1 -antitrypsin deficiency. Arch Pathol. 1972 Nov;94(5):445–455. [PubMed] [Google Scholar]
  15. Kanner R. E., Klauber M. R., Watanabe S., Renzetti A. D., Jr, Bigler A. Pathologic patterns of chronic obstructive pulmonary diseases in patients with normal and deficient levels of alpha 1 antitrypsin. Am J Med. 1973 Jun;54(6):706–712. doi: 10.1016/0002-9343(73)90056-9. [DOI] [PubMed] [Google Scholar]
  16. Kumar P., Lancaster-Smith M., Cook P., Stansfeld A., Clark M. L., Dawson A. M. Alpha1 antitrypsin deficiency in chronic liver disease, and a report of cirrhosis and emphysema in adult members of a family. Br Med J. 1974 Mar 2;1(5904):366–367. doi: 10.1136/bmj.1.5904.366. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Lieberman J., Mittman C., Gordon H. W. Alpha 1 antitrypsinin the livers of patients with emphysema. Science. 1972 Jan 7;175(4017):63–65. doi: 10.1126/science.175.4017.63. [DOI] [PubMed] [Google Scholar]
  18. Miller F., Kuschner M. Alpha1-antitrypsin deficiency, emphysema, necrotizing angiitis and glomerulonephritis. Am J Med. 1969 Apr;46(4):615–623. doi: 10.1016/0002-9343(69)90080-1. [DOI] [PubMed] [Google Scholar]
  19. 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]
  20. Stevens P. M., Hnilica V. S., Johnson P. C., Bell R. L. Pathophysiology of hereditary emphysema. Ann Intern Med. 1971 May;74(5):672–680. doi: 10.7326/0003-4819-74-5-672. [DOI] [PubMed] [Google Scholar]
  21. Talamo R. C., Langley C. E., Reed C. E., Makino S. 1 -Antitrypsin deficiency: a variant with no detectable 1 -antitrypsin. Science. 1973 Jul 6;181(4094):70–71. doi: 10.1126/science.181.4094.70. [DOI] [PubMed] [Google Scholar]
  22. Williams W. D., Fajardo L. F. Alpha-1-antitrypsin deficiency; a hereditary enigma. Am J Clin Pathol. 1974 Mar;61(3):311–320. doi: 10.1093/ajcp/61.3.311. [DOI] [PubMed] [Google Scholar]

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