WebMD Answers
The first signs and symptoms of lung disease caused by alpha-1 antitrypsin deficiency usually appear between ages 20 and 50. The earliest symptoms are:
Other signs and symptoms can include:
Advanced lung disease leads to emphysema, in which small air sacs in the lungs (alveoli) are damaged. Characteristic features of emphysema include:
Smoking or exposure to tobacco smoke accelerates the appearance of symptoms and damage to the lungs.
About 10% of infants and 15% of adults with alpha-1 antitrypsin deficiency have liver damage. Signs of liver disease can include:
In rare cases, alpha-1 antitrypsin deficiency also causes a skin condition known as panniculitis, which is characterized by hardened skin with painful lumps or patches. Panniculitis varies in severity and can occur at any age.
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