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Alfa-1-antitrypsin deficiency in children as a cause of cholestasis

Anna Liberek, Magdalena Góra-Gębka, Grażyna Sikorska-Wiśniewska, Wanda Bako, Marlena Rytlewska, Maria Korzon

Med Sci Monit 2003; 9(4): 19-23

ID: 428626

Background: The aim of the study was to present the clinical characteristics and diagnostic problems in infants with aqlpha -1-antitrypsin (alpha -1-AT) deficiency. Material/Methods:8 children aged from 10 days to 12 weeks were analysed with alpha -1-AT deficiency ascertained by nephelometric method and other causes of cholestasis and liver lesion excluded by means of differential diagnostics. Results/Conclusions: It was ascertained that cholestatic jaundice and symptoms of haemorrhagic defect were the most frequent symptoms of alpha -1-AT deficiency in analysed children. 1. diagnosis of alpha -1-AT deficiency obliges to perform screening tests in siblings with cholestasis 2. alpha -1-AT deficiency may coexist with other causes of cholestasis. 3. differential diagnostics with inborn atresia of bile-ducts may cause substantial difficulties.

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