PMID- 24183282 OWN - NLM STAT- MEDLINE DCOM- 20140826 LR - 20131209 IS - 1579-2129 (Electronic) IS - 0300-2896 (Linking) VI - 49 IP - 12 DP - 2013 Dec TI - Alpha-1-antitrypsin deficiency associated with the Mattawa variant. PG - 548-50 LID - S0300-2896(13)00152-X [pii] LID - 10.1016/j.arbres.2013.05.004 [doi] AB - The most common deficiency alleles for alpha-1-antitrypsin deficiency (AATD) are Pi*S and Pi*S, but there are also other deficiency variants. This case report describes the first two cases of AATD detected in Spain resulting from the combination of a null Mattawa allele with a normal PI*M, and a rare Mmalton. Both cases were initially diagnosed as Pi*MM by isoelectric focusing (IEF), but the low serum AAT values led us to suspect the existence of rare deficiency alleles that were undetectable using this technique, and to performing molecular analysis of the gene, which provided the correct diagnosis. Inconsistencies between serum AAT values and the phenotype should make one suspect the existence of one of these rare alleles. CI - Copyright (c) 2013 SEPAR. Published by Elsevier Espana. All rights reserved. FAU - Lara, Beatriz AU - Lara B AD - Servicio de Neumologia, Hospital Universitario Arnau de Vilanova, Lleida, Espana. Electronic address: beat1135@gmail.com. FAU - Martinez-Delgado, Beatriz AU - Martinez-Delgado B FAU - Torres, Maria Luisa AU - Torres ML FAU - Marin-Arguedas, Sandra AU - Marin-Arguedas S FAU - Bustamante, Ana AU - Bustamante A FAU - Miravitlles, Marc AU - Miravitlles M LA - eng PT - Case Reports PT - Journal Article DEP - 20131031 PL - Spain TA - Arch Bronconeumol JT - Archivos de bronconeumologia JID - 0354720 RN - 0 (Codon, Nonsense) RN - 0 (SERPINA1 protein, human) RN - 0 (alpha 1-Antitrypsin) RN - alpha-1-Antitrypsin Deficiency, Autosomal Recessive SB - IM MH - Aged MH - Alleles MH - Base Sequence MH - *Codon, Nonsense MH - DNA Mutational Analysis MH - Female MH - *Frameshift Mutation MH - Humans MH - Isoelectric Focusing MH - Middle Aged MH - Phenotype MH - alpha 1-Antitrypsin/*genetics MH - alpha 1-Antitrypsin Deficiency/*genetics OTO - NOTNLM OT - Alpha-1-antitrypsin deficiency OT - Deficit de alfa-1-antitripsina OT - Mattawa OT - Registro Espanol de pacientes con deficit de alfa-1-antitripsina OT - Spanish Registry of patients with alpha-1-antitrypsin deficiency EDAT- 2013/11/05 06:00 MHDA- 2014/08/27 06:00 CRDT- 2013/11/05 06:00 PHST- 2013/04/04 00:00 [received] PHST- 2013/05/07 00:00 [revised] PHST- 2013/05/09 00:00 [accepted] PHST- 2013/11/05 06:00 [entrez] PHST- 2013/11/05 06:00 [pubmed] PHST- 2014/08/27 06:00 [medline] AID - S0300-2896(13)00152-X [pii] AID - 10.1016/j.arbres.2013.05.004 [doi] PST - ppublish SO - Arch Bronconeumol. 2013 Dec;49(12):548-50. doi: 10.1016/j.arbres.2013.05.004. Epub 2013 Oct 31.