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eRAM

encyclopedia of Rare Disease Annotation for Precision Medicine




Disease alpha-1-antitrypsin deficiency
Comorbidity C0013990|emphysema
Sentences 15
PubMedID- 22365503 Since the end of the 1980s augmentation therapy with alpha-1 antitrypsin (aat) from human plasma has been available for specific treatment of emphysema due to aat deficiency.
PubMedID- 24551017 [4] the emphysema associated with aatd is typically worse in the lower lung zones because protease: protease inhibitor imbalance occurs in the lower respiratory tract.
PubMedID- 22236390 We report the outcome of bronchoscopic volume reduction with the insertion of emphasys endobronchial valves (emphasys medical, redwood city, ca, usa) in six patients with end-stage emphysema because of aat deficiency.
PubMedID- 24063809 Background: intravenous augmentation therapy is the only specific treatment available for emphysema associated with alpha-1 antitrypsin deficiency.
PubMedID- 22697349 Considered the prototypic serpin, the emphysema observed in patients with aatd, consisting of progressive destruction of the alveoli and small airway structures, formed the basis of the protease/anti-protease imbalance theory of chronic obstructive pulmonary disease (copd).
PubMedID- 25227936 Conclusion: in carefully selected aat deficiency patients with severe emphysema, elvr can be safely performed with encouraging long-lasting results.
PubMedID- 23821504 Less commonly encountered obstructive lung disorders for which transplantation is occasionally performed include emphysema due to alpha-1-antitrypsin deficiency, lymphangioleiomyomatosis, and langerhans cell histiocytosis.
PubMedID- 25301410 Introduction: copd and emphysema due to alpha-1 antitrypsin deficiency (aatd) are the first and fourth indications for lung transplantation worldwide, respectively.
PubMedID- 22791992 In this case, sjms represents an extreme example of focal emphysema in a patient with severe aat deficiency and diffuse obstructive lung disease.
PubMedID- 24719685 aat deficiency is associated with severe pulmonary emphysema and chronic obstructive pulmonary disease (copd) (3).
PubMedID- 24325216 The most frequent pre transplant diagnoses were chronic obstructive pulmonary disease (copd) of 38%, idiopathic pulmonary fibrosis (ipf) of 20% and alpha-1 antitrypsin deficiency with emphysema (a1at) of 18%.
PubMedID- 22500781 Augmentation therapy was first approved by the united states food and drug administration (fda) in 1987 for emphysema associated with severe aatd and today, six augmentation therapy preparations, all of which derive from pooled human plasma, have received fda approval.
PubMedID- 25412116 These results change the paradigm of the mechanism of aatd-induced emphysema from a pure elastase-antielastase imbalance to a much more complex one involving the adaptive immune system, similarly to what occurs in usual copd.
PubMedID- 22356581 However, the development of copd and emphysema in subjects with aat deficiency is highly variable and is likely influenced by modifier genes and environmental factors [2-4].
PubMedID- 20301692 Although reported, emphysema in children with aatd is extremely rare.

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