Alpha-1 Antitrypsin Deficiency

Alpha-1 antitrypsin deficiency (AATD) is a genetic disorder that can affect the liver and lungs. It is caused by a deficiency of the alpha-1 antitrypsin protein, which is produced by the liver. This protein helps to protect the lungs from damage caused by certain enzymes. When there is not enough of this protein, the enzymes can damage the lungs, leading to conditions such as emphysema.

 

In the liver, the deficiency of alpha-1 antitrypsin can cause liver disease, including cirrhosis, which is a condition in which the liver slowly deteriorates and loses function over time.

Symptoms & Diagnosis

Symptoms of liver disease in AATD can include abdominal pain, jaundice, fatigue, and fluid accumulation in the abdomen.


Diagnosis of AATD is made by measuring the levels of alpha-1 antitrypsin in the blood and genetic testing. In some cases, a liver biopsy may be performed to evaluate the extent of liver damage.

Treatment

In some cases, liver transplantation may be necessary for severe liver disease. It is important to avoid cigarette smoking, maintain a healthy weight and limit alcohol consumption, as they can worsen lung and liver disease. 

 

It is important to note that AATD is a rare condition, and the majority of people with abnormal liver tests do not have this disorder. But if you have a family history of AATD, it is important to consult with a healthcare provider to get tested, especially if you have symptoms of lung or liver disease.

FAQs

Symptoms of advanced alpha-1 antitrypsin deficiency liver disease basically are the symptoms of liver cirrhosis and can include abdominal pain, jaundice, fatigue, and fluid accumulation in the abdomen. As the disease progresses, symptoms may also include weight loss, itching, and confusion.

Diagnosis of alpha-1 antitrypsin deficiency liver disease is made by measuring the levels of alpha-1 antitrypsin in the blood and genetic testing. In some cases, a liver biopsy may be performed to evaluate the extent of liver damage.

Treatment for alpha-1 antitrypsin deficiency liver disease is management of liver cirrhosis. In some cases, liver transplantation may be necessary for severe liver disease. It is crucial to stop smoking, maintain a healthy weight and stop drinking alcohol.

Lifestyle changes such as avoiding alcohol and cigarette smoking, eating a healthy diet, and getting regular exercise can help to manage alpha-1 antitrypsin deficiency liver disease and slow the progression of the disease.

Yes, alpha-1 antitrypsin deficiency liver disease can lead to liver failure if left untreated.

Individuals with alpha-1 antitrypsin deficiency liver disease should have their liver function tested regularly, as recommended by their healthcare provider. This may include regular blood tests to monitor liver enzymes and other markers of liver function, as well as imaging studies to monitor the structure of the liver.

As alpha-1 antitrypsin deficiency is a genetic disorder, it cannot be prevented. However, early diagnosis and treatment can help to slow the progression of the disease and prevent serious complications.

Alpha-1 antitrypsin deficiency liver disease can lead to other health problems such as lung disease, and can increase the risk of liver cancer. It is important to work closely with a healthcare provider to manage and monitor any associated health risks.

Yes, there are support groups for individuals with alpha-1 antitrypsin deficiency liver disease, where they can connect with other individuals who have the same condition and share information and resources. Your healthcare provider may be able to provide you with information about local support groups or online communities.

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