DISEASE SCANNER

Global Incurable Diseases Tracker

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Pulmonary Disease

Alpha-1 Antitrypsin Deficiency (Pulmonary)

HIGH SEVERITY

A genetic disorder causing low levels of alpha-1 antitrypsin, leading to panacinar emphysema, particularly in the lower lobes. Patients develop early-onset COPD, often before age 45. Can also cause liver disease.

Global Affected

1.0M

Countries

17

Symptoms

Dyspnea
Wheezing
Chronic cough
Sputum production
Early-onset emphysema
Recurrent respiratory infections
Fatigue
Barrel chest

Treatment Options

Alpha-1 antitrypsin augmentation therapy
Bronchodilators
Inhaled corticosteroids
Pulmonary rehabilitation
Oxygen therapy
Vaccinations
Lung volume reduction surgery
Lung transplantation

Risk Factors

1SERPINA1 gene mutations (Z and S alleles)
2Smoking (accelerates disease)
3Family history
4Northern European ancestry

Diagnostic Methods

  • 1Serum alpha-1 antitrypsin level
  • 2Phenotyping/genotyping
  • 3Pulmonary function tests
  • 4Chest CT
  • 5Chest X-ray
  • 6Liver function tests

Prognosis

Variable; nonsmokers may have near-normal lifespan. Smokers develop severe COPD early. Augmentation therapy slows progression in FEV1 35-60%.

Prevention

  • Smoking cessation (critical)
  • Avoid secondhand smoke
  • Avoid occupational dusts/fumes
  • Vaccinations
  • Genetic counseling

Research Status

Alpha-1 antitrypsin augmentation therapy and Bronchodilators are primary treatments. Research focuses on improved therapies and outcomes.

Sources

  • https://www.lung.org/lung-health-diseases/lung-disease-lookup/alpha-1-antitrypsin-deficiency
  • https://www.ncbi.nlm.nih.gov/books/NBK1519
  • https://www.hematology.org/education/patients
  • https://www.ncbi.nlm.nih.gov/books
  • https://rarediseases.org/rare-diseases

Medical Disclaimer

This information is for educational purposes only. Always consult healthcare professionals for medical advice, diagnosis, and treatment.