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 |