Apprill M, North M L, Mirhom R, Weitzenblum E
Laboratoire d'Explorations Fonctionnelles Respiratoires, Strasbourg, France.
Respiration. 1990;57(5):310-2. doi: 10.1159/000195862.
We studied alpha 1-antitrypsin deficiency in a large family of 10 siblings: 3 subjects had PiZZ phenotype, but only 1 had emphysema; 2 subjects had no respiratory complaint. The patient with emphysema was a heavy smoker. According to the literature, this case suggests that, in PiZZ phenotype, emphysema appears earlier and is more severe if the patients smoke.
我们在一个由10个兄弟姐妹组成的大家庭中研究了α1抗胰蛋白酶缺乏症:3名受试者具有PiZZ表型,但只有1人患有肺气肿;2名受试者没有呼吸系统疾病主诉。患有肺气肿的患者是重度吸烟者。根据文献,该病例表明,在PiZZ表型中,如果患者吸烟,肺气肿会出现得更早且更严重。