Alpha 1 - anti-trypsin deficiency - a rare case of hepatic cirrhosis in an adult

Authors

  • Eugénia Silva Interna do lnternato Complementar de Medicina Interna, Serviço de Medicina 1, Hospital Curry Cabral, Lisboa
  • Paulo Marcelino Assistente Hospitalar de Medicina Interna, Serviço de Medicina 1, Hospital Curry Cabral, Lisboa
  • Assunção Elvas Assistente Hospitalar de Medicina Interna, Serviço de Medicina 1, Hospital Curry Cabral, Lisboa
  • Lurdes Pereira Assistente Hospitalar de Medicina Interna, Serviço de Medicina 1, Hospital Curry Cabral, Lisboa
  • José Costa Assistente Hospitalar Graduado de Medicina Interna, Serviço de Medicina 1, Hospital Curry Cabral, Lisboa
  • António Coutinho de Miranda Chefe de Serviço de Medicina Interna, Serviço de Medicina 1, Hospital Curry Cabral, Lisboa

Keywords:

alphal-antitrypsin deficiency, hepatic cirrhosis, hepatic biopsy

Abstract

The authors present a rare clinical case report of liver cirrhosis in an adult patient with alphal are: PiSS, PiZZ, PiSZ and PiMZ. The patient presented the phenotype PiMF.

Recent data supports a new perspective of this disease: the incorrect folding of the protein leads to its accumulation in the rough endoplasmic reticulum of the hepatocyte and consequently damages it.

 

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References

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Norman MR, Mowat AP, Hutchison DC. Molecular basis, clinical consequences and diagnosis of alpha 1-antitrypsin deficiency. Ann Clin Biachem 1997; 34(3): 230-246.

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Zhou H, Fischer HP. Liver carcinoma in PiZ alpha 1-antitrypsin deficiency. Am J Surg Pathol 1998; 22(6): 742-748.

Serfaty L, Chazouilleres O, Poujal Rober A et al. Risk factors or cirrhosis in patients with chronic hepatitis C vírus infection: results of a case-control study. Hepatology 1997; 26(3):776-779.

Os I et al. Alpha 1-antitrypsin deficiency associated with hepatic cirrhosis and IgA nephritis. Nephron 1997; 77(2): 235-237.

Elzouki AN et al. Severe alpha 1- anlitrypsin deficiency (PiZ homozygosity) with membranoproliferative glomerulonephrilis and nephrolic syndrome, reversible afler ortholopic liver transplantalion. J Hepatol 1997 ; 26(6): 1407-7.

Skoda-Smith S el ai. Alpha 1-antilrypsin deficiency in a child wilh X-linked lymphoproliferative disease. Arch Pathol Lab Med 1997; 121(9): 996-999

Additional Files

Published

2001-12-31

How to Cite

1.
Silva E, Marcelino P, Elvas A, Pereira L, Costa J, Coutinho de Miranda A. Alpha 1 - anti-trypsin deficiency - a rare case of hepatic cirrhosis in an adult. RPMI [Internet]. 2001 Dec. 31 [cited 2024 Nov. 21];8(4):184-7. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/1921

Issue

Section

Case Reports