ACTA GASTRO-ENTEROLOGICA BELGICA (English ed.), sa.79, ss.52-54, 2016 (SCI-Expanded)
Abstract
Alpha 1 antitrypsin (AAT) deficiency is a hereditary disorder
leading to severe lung and liver diseases worldwide. An accumulation
of insoluble heterodimer AAT molecules in hepatocytes is the
main cause of liver disorders. The most commonly detected allele
worldwide is the PIMM allele, which fulfills the AAT function. The
most common missing variant is PiZZ. Serum AAT level is a beneficial
but not a reliable determinant for diagnosis. Liver biopsy
yields more reliable results. AAT deficiency has no specific treatment.
The only treatment modality in children with end stage liver
disease is the hepatic transplant. We wanted to present in our article
four cases from same family, diagnosed alpha-1 antitrypsindeficiency
in adulthood. (Acta gastroenterol.
belg., 2016, 79, 54-57).
Key words : Alpha 1 antitrypsin (AAT) deficiency, liver transplantation,
and Genetic Testing.