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Review

Alpha-1 antitrypsin deficiency: An underrecognized, treatable cause of COPD

James K. Stoller, MD, MS
Cleveland Clinic Journal of Medicine July 2016, 83 (7) 507-514; DOI: https://doi.org/10.3949/ccjm.83a.16031
James K. Stoller
Chair, Education Institute, Cleveland Clinic; Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
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ABSTRACT

Alpha-1 antitrypsin deficiency is common but underrecognized. Because delayed diagnosis is thought to be associated with adverse outcomes, clinicians are encouraged to follow available guidelines and test for the disease in all symptomatic adults with fixed airflow obstruction. The weight of available evidence supports the biochemical and clinical efficacy of intravenous augmentation therapy. Promising new therapies are being investigated.

Footnotes

  • Dr. Stoller has disclosed consulting for Arrowhead.

  • Copyright © 2016 The Cleveland Clinic Foundation. All Rights Reserved.
View Full Text
  1. James K. Stoller, MD, MS⇑
  1. Chair, Education Institute, Cleveland Clinic; Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
  1. ADDRESS:
    James K. Stoller, MD, MS, Education Institute, NA2, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195; stollej{at}ccf.org

ABSTRACT

Alpha-1 antitrypsin deficiency is common but underrecognized. Because delayed diagnosis is thought to be associated with adverse outcomes, clinicians are encouraged to follow available guidelines and test for the disease in all symptomatic adults with fixed airflow obstruction. The weight of available evidence supports the biochemical and clinical efficacy of intravenous augmentation therapy. Promising new therapies are being investigated.

Footnotes

  • Dr. Stoller has disclosed consulting for Arrowhead.

  • Copyright © 2016 The Cleveland Clinic Foundation. All Rights Reserved.
View Full Text
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Cleveland Clinic Journal of Medicine: 83 (7)
Cleveland Clinic Journal of Medicine
Vol. 83, Issue 7
1 Jul 2016
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Alpha-1 antitrypsin deficiency: An underrecognized, treatable cause of COPD
James K. Stoller
Cleveland Clinic Journal of Medicine Jul 2016, 83 (7) 507-514; DOI: 10.3949/ccjm.83a.16031

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Alpha-1 antitrypsin deficiency: An underrecognized, treatable cause of COPD
James K. Stoller
Cleveland Clinic Journal of Medicine Jul 2016, 83 (7) 507-514; DOI: 10.3949/ccjm.83a.16031
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  • Article
    • ABSTRACT
    • RECOGNIZED CASES ARE THE TIP OF THE ICEBERG
    • PHYSIOLOGY AND PATHOPHYSIOLOGY OF ALPHA-1 ANTITRYPSIN DEFICIENCY
    • CLINICAL MANIFESTATIONS
    • CONSEQUENCES OF ALPHA-1 ANTITRYPSIN DEFICIENCY
    • DIAGNOSING ALPHA-1 ANTITRYPSIN DEFICIENCY
    • TREATMENT OF ALPHA-1 ANTITRYPSIN DEFICIENCY
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