A1AT Deficiency Flashcards

1
Q

What chromosome is A1AT located on?

A

Chromosome 14

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2
Q

What type of mutation is A1AT deficiency?

A

Autosomal recessive

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3
Q

What are the complications of A1AT deficiency? (Gastro and respiratory)

A

Liver cirrhosis

Bronchiectasis and emphysema

HCC

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4
Q

How is A1AT deficiency diagnosed?

Note: there is one investigation on this list that diagnoses respiratory A1AT

A

Low A1AT

Liver biopsy showing acid-Schiff-positive staining globules

Genetic testing

High resolution CT thorax (respiratory)

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5
Q

What is the management of A1AT deficiency? What is the one thing you should not do in management of it?

A

Stop smoking

Symptomatic management

Organ transplant

Monitoring complications

DO NOT use replacement A1AT

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