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Clinical Rounds

Severe, Early‐Onset Emphysema with Normal α1‐Antitrypsin Levels in Nonsmokers: A Clinical Dilemma

, M.D., , C.C.P. , M.D.F. & , F.C.C.P. , D.O.
Pages 313-319 | Published online: 18 Aug 2004
 

Abstract

Approximately 85% of all cases of chronic obstructive pulmonary disease are attributed to cigarette smoking. The only other established risk factor for the development of chronic obstructive pulmonary disease that is of comparable importance is the deficiency of alpha1‐antitrypsin, a rare genetic defect that is present in less than 1% of all cases. Other risk factors are not well characterized in the literature. This article describes one patient without a significant smoking history and a normal alpha1‐antitrypsin level that developed severe early‐onset emphysema and gives a brief discussion about other genetic and environmental risk factors for the development of emphysema.

Abbreviations
A1AT:=

Alpha 1‐Antitrypsin

AHR:=

Airway Hyperresponsiveness

AP:=

Anteroposterior

COPD:=

Chronic Obstructive Pulmonary Disease

CT:=

Computed Tomography

DLCO:=

Diffusing Capacity of Carbon Monoxide

ELISA:=

Enzyme‐Linked Immunosorbent Assay

FEV1:=

Forced Expiratory Volume in 1 Second

FVC:=

Forced Vital Capacity

HIV:=

Human Immunodeficiency Virus

PA:=

Posterior–Anterior

RV:=

Residual Volume

TLC:=

Total Lung Capacity

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