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Pediatric Practice: GastroenterologyPediatric Practice: Gastroenterology

Section 4. Disorders of the Liver > 

Chapter 26. Alpha-1-Antitrypsin Deficiency

Jeffrey H. Teckman
Topics Discussed: alpha 1-antitrypsin; alpha 1-antitrypsin deficiency; gastroenterology and hepatology.
Sections: Pathogenesis, Clinical Presentation, Differential Diagnosis, Diagnosis, Treatment, References.
Excerpt:"The classical, most common form of alpha-1-antitrypsin (a1AT) deficiency is caused by homozygosity (ZZ) for the autosomal co-dominant Z mutant allele of a1AT.1 This is referred to as "PIZZ" in World Health Organization nomenclature.2 ZZ homozygotes may be as common as 1 in 2000 births in many North American and European populations, although the disease is under-recognized and many patients go undiagnosed. The mutant Z gene is especially common in populations derived from Scandinavian or British Isles gene pools (Figure 26–1)...."
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