Journal Information
Vol. 14. Issue 2.
Pages 295-302 (March - April 2008)
Share
Share
Download PDF
More article options
Vol. 14. Issue 2.
Pages 295-302 (March - April 2008)
Caso Clínico/Clinical Case
Open Access
Défice de alfa-1 antitripsina. A propósito de dois casos clínicos
Alpha-1 antitrypsin deficiency. Two cases report
Visits
6062
Sónia Serra1, Graça Banha2
1 Interna do Complementar de Medicina Interna, Serviço de Pneumologia, Centro Hospitalar de Setúbal, EPE, Rua Camilo Castelo Branco, 2910-446 Setúbal – Portugal
2 Assistente Hospitalar Graduada de Pneumologia, Serviço de Pneumologia, Centro Hospitalar de Setúbal, EPE, Rua Camilo Castelo Branco, 2910-446 Setúbal – Portugal
This item has received

Under a Creative Commons license
Article information
Resumo

O défice de alfa-1 antitripsina é uma doença hereditária autossómica codominante. O fenótipo Pi ZZ está associado com maior frequência à doença pulmonar, sendo responsável pelo aparecimento precoce de enfisema, sobretudo nos fumadores. Os autores apresentam dois casos de diagnóstico tardio e em que estiveram presentes outros factores que terão contribuído para o aparecimento de manifestações clínicas.

Rev Port Pneumol 2007; XIV (2): 295-302

Palavras-chave:
Défice de alfa-1 antitripsina
fenótipo Pi ZZ
enfisema
Abstract

The alpha-1 antitrypsin deficiency is an hereditary autosomic codominant disease. The phenotype Pi ZZ is associated more frequently with pulmonary disease and is responsible for the presence of emphysema early in life, particularly in smokers. The author’s present two cases which diagnosis were performed later in life and in which other factors could be also responsible for clinical manifestations.

Rev Port Pneumol 2007; XIV (2): 295-302

Key-words:
Alpha-1 antitrypsin deficiency
phenotype Pi ZZ
emphysema
Full text is only aviable in PDF
Bibliografia
[1.]
American Thoracic Society/European Respiratory Society Statement.
Standards for the Diagnosis and Management of Individuals with Antitrypsin Deficiency.
Am J Respir Crit Care Med, 168 (2003), pp. 818-900
[2.]
F.J. de Serres.
Worldwide racial and ethnic distribution of alpha-1-antitrypsin deficiency: details of an analysis of published genetic epidemiological surveys.
Chest, 122 (2002), pp. 29-1818
[3.]
D.C. Hutchison.
α1-Antitrypsin deficiency in Europe: geographical distribution of Pi types S and Z.
Respir Med, 92 (1998), pp. 77-367
[4.]
F.J. de Serres, I. Blanco, E.F. Bustillo.
Genetic epidemiology of alpha-1 antitrypsin deficiency: France, Italy, Portugal and Spain.
Clin Genet, 63 (2003), pp. 490-509
[5.]
C. Larsson.
Natural history and life expectancy in severe Alpha1-antitrypsin deficiency, PiZ.
Acta Med Scand, 204 (1978), pp. 345-351
[6.]
M.L. Brantly, L.D. Paul, B.H. Miller, R.T. Falk, M. Wu, R.G. Crystal.
Clinical features and history of the destructive lung disease associated with alpha-1 antitrypsin deficiency of adults with pulmonary symptoms.
Am Rev Respir Dis, 138 (1988), pp. 327-336
[7.]
S.N. Kelada, D.L. Eaton, S.S. Wang, N.R. Rothman, M.J. Khoury.
The role of genetic polymorphisms in environmental health.
Environ Health Perspect, 111 (2003), pp. 1055-1064
[8.]
E. Eden, D. Mitchell, B. Mehlman, H. Khouli, M. Mejat, M.H. Grieco, G.M. Turino.
Atopy, asthma and emphysema in patients with severe alpha-1-antitrypsin deficiency.
Am J Respir Crit Care Med, 156 (1997), pp. 68-74
[9.]
M. Needhmam.
RA Stockley. α1-antitrypsin deficiency. Clinical manifestations and natural history.
Thorax, 59 (2004), pp. 441-445
[10.]
R. Mahadeva, D.A. Lomas.
Genetics and respiratory disease. 2. Alpha1-antitrypsin deficiency, cirrhosis and emphysema.
Thorax, 53 (1998), pp. 501-505
[11.]
Michael A. Campos, Adam Wanner, Guoyam Zhang, Robert A. Sandhaus.
Trends in the diagnosis of symptomatic patients with α1- Antitrypsin deficiency between 1968 and 2003.
Chest, 128 (2005), pp. 86-1179
[12.]
James K. Stoller, Robert A. Sandhaus, Gerard Turino, Ryan Dickson, Keith Rodgers, Charlie Strange.
Delay in diagnosis of α1- Antitrypsin deficiency. A continuing problem.
Chest, 128 (2005), pp. 94-1989
[13.]
N. Seersholm, A. Kok-Jensen, A. Dirksen.
Survival of patients with severe α1-antitrypsin deficiency with special reference to non-index cases.
Thorax, 49 (1994), pp. 8-695
[14.]
E. Piitulainen, S. Eriksson.
Decline in FEV1 rotated to smoking status in individuals with severe alpha1–antitrypsin deficiency (PiZZ).
Eur Respir J, 13 (1999), pp. 51-247
[15.]
N. Seersholm, A. Dirksen, A. Kok-Jensen.
Airways obstruction and two year survival in patients with severe alpha1-antitrypsin deficiency.
Eur Respir J, 7 (1994), pp. 7-1985
[16.]
J.A. Pierce.
Antitrypsin and emphysema. Perspective and prospects.
JAMA, 259 (1988), pp. 5-2890
[17.]
Talecris Biotherapeutics, Inc.; Alpha1-Proteinase Inhibitor (Human). Prolastin®. Resumo das características do medicamento.
Copyright © 2008. Sociedade Portuguesa de Pneumologia/SPP
Pulmonology
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?