2015, Number 2
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Rev Cub de Med Fis y Rehab 2015; 7 (2)
Clinical, functional and genetic studies in patients with pulmonary emphysema deficit of alpha-1 antitrypsin
Fernández FM, Jane LA, Marcheco TB, Lima AMI, Ortiz RJ
Language: Spanish
References: 10
Page: 201-208
PDF size: 176.87 Kb.
ABSTRACT
Introduction: Pulmonary emphysema alpha 1 antitrypsin deficiency is the most
common inherited respiratory disease in adulthood. The genetic factor associated
with this lack of protective enzyme in the lung, is the cause of the development of
emphysema.
Objective: To know the peculiarities of pulmonary emphysema 1antitripsina alpha
deficit with chronic obstructive pulmonary disease (COPD) and their frequency in
the population of young adults.
Development: The case of a female patient of 47 years old, diagnosed with COPD
despite appropriate treatment and total abandonment of smoking for more than 10
years, presented from this date, a progressive worsening clinical and lung function
which led to their valuation multiple hospitals in the city of Havana.
Results: The study of DNA to determine genotype was inconclusive, to obtain Pi ZZ
genotype, and affirm the presence of alpha-1 antitrypsin deficiency.
Conclusions: We demonstrate the presence of this rare entity and considered
thought in young adults with diagnostic of COPD.
REFERENCES
Gold executive committee. Assess and monitor disease. Initiative for chronic obstructive lung disease (GOLD).Update; 2009.33-41.
Pellegrino R, Viegi G, Brusasco V. Interpretative strategies for lung function tests. Eur Respir J 2005;26:948–968.
Quanjer HP, Millar MR, Ruppel G, Swanney MP, Crapo RO, Pedersen FP. Open Letter. The need to change the method for defining mild airway obstruction. Prim Care Respirat J 2010;19(3):288-291.
Peces GB; Albert JB; Agustí A. Guía clínica SEPAR-ALAT de diagnóstico y tratamiento de la EPOC. Arch Bronconeumol 2008;44:271-81.
López V, Jardim J, Schiavi E. Definición, epidemiología, factores de riesgo y patogenia. Recomendaciones para el diagnóstico y tratamiento de la enfermedad pulmonar obstructiva crónica. Asociación Latinoamericana del Tórax (ALAT) ; 2011.7-10
Lara B. EPOC y déficit de alfa-1-antitripsina. Arch Bronconeumol. 2010;46(4):2-8.
Vidal R, Blanco I, Casas F .Diagnóstico y tratamiento del déficit de alfa-1- antitripsina. Arch Bronconeumol. 2006;42:645-59
Leal Mursulí A, Ramos Díaz N, Castellanos González J et al. Enfisema bulloso bilateral gigante por déficit de alfa1-antitripsina. Rev Cubana Cir 2009;48(1):1-4 Fletcher CM, Peto R. The natural history of chronic airflow obstruction. Br Med J 1977;1:1645.
American Thoracic Society. Evaluation of impairment/disability secondary to respiratory disorders. Am Rev Respir Dis. 1986;133:1205.
Haluszka J, Chartrand DA, Grassino AE, Milic-Emili J. Intrinsic PEEP and arterial PCO2 in stable patients with chronic obstructive pulmonary disease. Am Rev Respir Dis. 1990; 41:1194-7.