Long-term follow-up of a cohort of children with alpha-1-antitrypsin deficiency

Michael Wall, Esther Moe, Jay Eisenberg, Michael (Mike) Powers, Neil Buits, A. Sonia Bulst

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

We assessed lung function, liver function, and smoking attitudes and behavic in 22 adolescents with homozygous α1-antitrypsin deficiency whose condititor had been detected through neonatal screening in the early 1970s. All subjects had normal lung volumes, expiratory flow rates, and diffusing capacity except for two siblings with mild asthma whose values reverted to the normal range after administration of an inhalaed bronchodilator. Liver function was normal in all subjects with the exception of one boy who had an isolated elevation of alkaline phosphatase activity. Smoking attitudes, as determined by questionnaire, did not diffier from those of 130 control subjects, but smoking initiation rates were significantly lower (p=0.02). We belleve that the issue of neonatal screening for α1-antitrypsin deficiency should be reexamined because augmentation therapy for adults with emphyseme is now available, and screening followed by family-based smoking intervention may lead to a nonsmoking life-style. The latter is especially important because the current weight of epidemiologic evidence strongly suggests that in nonsmokers with this condition, severe emphysema may never develop or, if it does, it will do so at a much later age than in smokers.

Original languageEnglish (US)
Pages (from-to)248-251
Number of pages4
JournalThe Journal of Pediatrics
Volume116
Issue number2
DOIs
StatePublished - 1990

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alpha 1-Antitrypsin Deficiency
Smoking
Neonatal Screening
Lung
Liver
Bronchodilator Agents
Emphysema
Alkaline Phosphatase
Life Style
Siblings
Reference Values
Asthma
Weights and Measures
Autosomal Recessive alpha-1-Antitrypsin Deficiency

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Long-term follow-up of a cohort of children with alpha-1-antitrypsin deficiency. / Wall, Michael; Moe, Esther; Eisenberg, Jay; Powers, Michael (Mike); Buits, Neil; Bulst, A. Sonia.

In: The Journal of Pediatrics, Vol. 116, No. 2, 1990, p. 248-251.

Research output: Contribution to journalArticle

Wall, Michael ; Moe, Esther ; Eisenberg, Jay ; Powers, Michael (Mike) ; Buits, Neil ; Bulst, A. Sonia. / Long-term follow-up of a cohort of children with alpha-1-antitrypsin deficiency. In: The Journal of Pediatrics. 1990 ; Vol. 116, No. 2. pp. 248-251.
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