Portuguese consensus document for the management of alpha-1-antitrypsin deficiency

Alpha-1-antitrypsin deficiency (AATD) is a genetic autosomal codominant disorder caused by mutations in SERPINA1 gene. It is one of the most prevalent genetic disorders, although it remains underdiagnosed. Whereas at international level there are several areas of consensus on this disorder, in Portu...

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Published inPulmonology Vol. 24; pp. 1 - 21
Main Authors Lopes, A.P., Mineiro, M.A., Costa, F., Gomes, J., Santos, C., Antunes, C., Maia, D., Melo, R., Canotilho, M., Magalhães, E., Vicente, I., Valente, C., Gonçalves, B.G., Conde, B., Guimarães, C., Sousa, C., Amado, J., Brandão, M.E., Sucena, M., Oliveira, M.J., Seixas, S., Teixeira, V., Telo, L.
Format Journal Article Conference Proceeding
LanguageEnglish
Published Spain Elsevier España, S.L.U 01.12.2018
Elsevier España
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Abstract Alpha-1-antitrypsin deficiency (AATD) is a genetic autosomal codominant disorder caused by mutations in SERPINA1 gene. It is one of the most prevalent genetic disorders, although it remains underdiagnosed. Whereas at international level there are several areas of consensus on this disorder, in Portugal, inter-hospital heterogeneity in clinical practice and resources available have been adding difficulties in reaching a diagnosis and in making therapeutic decisions in this group of patients. This raised a need to draft a document expressing a national consensus for AATD. To this end, a group of experts in this field was created within the Portuguese Pulmonology Society - Study group on AATD, in order to elaborate the current manuscript. The authors reviewed the existing literature and provide here general guidance and extensive recommendations for the diagnosis and management of AATD that can be adopted by Portuguese clinicians from different areas of Medicine. This article is part of a supplement entitled “Portuguese consensus document for the management of alpha-1-antitrypsin deficiency” which is sponsored by Sociedade Portuguesa de Pneumologia.
AbstractList Alpha-1-antitrypsin deficiency (AATD) is a genetic autosomal codominant disorder caused by mutations in SERPINA1 gene. It is one of the most prevalent genetic disorders, although it remains underdiagnosed. Whereas at international level there are several areas of consensus on this disorder, in Portugal, inter-hospital heterogeneity in clinical practice and resources available have been adding difficulties in reaching a diagnosis and in making therapeutic decisions in this group of patients. This raised a need to draft a document expressing a national consensus for AATD. To this end, a group of experts in this field was created within the Portuguese Pulmonology Society - Study group on AATD, in order to elaborate the current manuscript. The authors reviewed the existing literature and provide here general guidance and extensive recommendations for the diagnosis and management of AATD that can be adopted by Portuguese clinicians from different areas of Medicine. This article is part of a supplement entitled "Portuguese consensus document for the management of alpha-1-antitrypsin deficiency" which is sponsored by Sociedade Portuguesa de Pneumologia.
Alpha-1-antitrypsin deficiency (AATD) is a genetic autosomal codominant disorder caused by mutations in SERPINA1 gene. It is one of the most prevalent genetic disorders, although it remains underdiagnosed. Whereas at international level there are several areas of consensus on this disorder, in Portugal, inter-hospital heterogeneity in clinical practice and resources available have been adding difficulties in reaching a diagnosis and in making therapeutic decisions in this group of patients. This raised a need to draft a document expressing a national consensus for AATD. To this end, a group of experts in this field was created within the Portuguese Pulmonology Society - Study group on AATD, in order to elaborate the current manuscript. The authors reviewed the existing literature and provide here general guidance and extensive recommendations for the diagnosis and management of AATD that can be adopted by Portuguese clinicians from different areas of Medicine.This article is part of a supplement entitled “Portuguese consensus document for the management of alpha-1-antitrypsin deficiency” which is sponsored by Sociedade Portuguesa de Pneumologia. Keywords: Alpha 1-Antitrypsin Deficiency, Consensus, Diagnosis, Therapeutics, Pulmonary Emphysema
Alpha-1-antitrypsin deficiency (AATD) is a genetic autosomal codominant disorder caused by mutations in SERPINA1 gene. It is one of the most prevalent genetic disorders, although it remains underdiagnosed. Whereas at international level there are several areas of consensus on this disorder, in Portugal, inter-hospital heterogeneity in clinical practice and resources available have been adding difficulties in reaching a diagnosis and in making therapeutic decisions in this group of patients. This raised a need to draft a document expressing a national consensus for AATD. To this end, a group of experts in this field was created within the Portuguese Pulmonology Society - Study group on AATD, in order to elaborate the current manuscript. The authors reviewed the existing literature and provide here general guidance and extensive recommendations for the diagnosis and management of AATD that can be adopted by Portuguese clinicians from different areas of Medicine. This article is part of a supplement entitled “Portuguese consensus document for the management of alpha-1-antitrypsin deficiency” which is sponsored by Sociedade Portuguesa de Pneumologia.
Author Melo, R.
Conde, B.
Costa, F.
Maia, D.
Vicente, I.
Seixas, S.
Canotilho, M.
Amado, J.
Sucena, M.
Gomes, J.
Teixeira, V.
Sousa, C.
Santos, C.
Antunes, C.
Magalhães, E.
Gonçalves, B.G.
Valente, C.
Guimarães, C.
Lopes, A.P.
Mineiro, M.A.
Brandão, M.E.
Oliveira, M.J.
Telo, L.
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  surname: Telo
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Keywords ATS
FDA
IgA
SERPINA1
Alpha 1-Antitrypsin Deficiency
RV
ERS
Pulmonary Emphysema
ALT
TLC
HU
MPO
AATD
BODE
DBS
DLCO
HRQoL
LTB4
Diagnosis
SEPAR
AST
IEF
EDTA
ER
Consensus
.
PR3
CT
FVC
AAT
HIV
IL8
NHLBI
GGT
URTI
FRC
PD10
Therapeutics
NE
FEV1
RCL
c-ANCA
PCR
COPD
Language English
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Copyright © 2018. Published by Elsevier España, S.L.U.
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Snippet Alpha-1-antitrypsin deficiency (AATD) is a genetic autosomal codominant disorder caused by mutations in SERPINA1 gene. It is one of the most prevalent genetic...
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SubjectTerms Algorithms
Alpha 1-Antitrypsin Deficiency
alpha 1-Antitrypsin Deficiency - complications
alpha 1-Antitrypsin Deficiency - diagnosis
alpha 1-Antitrypsin Deficiency - therapy
Consensus
Diagnosis
Humans
Lung Diseases - diagnosis
Lung Diseases - etiology
Lung Diseases - therapy
Patient Selection
Portugal
Practice Guidelines as Topic
Pulmonary Emphysema
Therapeutics
Title Portuguese consensus document for the management of alpha-1-antitrypsin deficiency
URI https://dx.doi.org/10.1016/j.pulmoe.2018.09.004
https://www.ncbi.nlm.nih.gov/pubmed/30473034
https://search.proquest.com/docview/2138052318
https://doaj.org/article/3b0c412319364f6ab6501f605d4fd9b6
Volume 24
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