PMID- 29696962 OWN - NLM STAT- MEDLINE DCOM- 20181220 LR - 20181220 IS - 1827-1898 (Electronic) IS - 0031-0808 (Linking) VI - 60 IP - 3 DP - 2018 Sep TI - Alpha1-antitrypsin deficiency: what's new after European Respiratory Society Statement. PG - 101-108 LID - 10.23736/S0031-0808.18.03450-X [doi] AB - Alpha-1 antitrypsin deficiency (AATD) is a clinically under-recognized inherited disorder affecting the lungs and the liver. The most common manifestations are pulmonary emphysema, bronchiectasis and liver disease. The recent publication of the European Respiratory Society statement on diagnosis and treatment of pulmonary diseases has replaced the 2003 American Thoracic Society and European Respiratory Society one. New outcome parameters have been introduced and validated by observational and randomized clinical trials, and new information about efficacy and safety of augmentation therapy have been published. In this narrative review we have commented the crucial points of the new European Respiratory Society statement on AATD, including a review of the literature on liver involvement and treatments. FAU - Patrucco, Filippo AU - Patrucco F AD - Division of Pulmonology, Cardiothoracic and Vascular Department, AOU Citta della Salute e della Scienza, Turin, Italy - filippo_patrucco@hotmail.it. FAU - Venezia, Ludovica AU - Venezia L AD - General and Specialistic Medical Department, Division of Gastroenterology, AOU Citta della Salute e della Scienza, Turin, Italy. FAU - Gavelli, Francesco AU - Gavelli F AD - Unit of Emergency Medicine, Department of Translational Medicine, AOU Maggiore della Carita of Novara, University of Piemonte Orientale, Novara, Italy. FAU - Pellicano, Rinaldo AU - Pellicano R AD - General and Specialistic Medical Department, Division of Gastroenterology, AOU Citta della Salute e della Scienza, Turin, Italy. FAU - Solidoro, Paolo AU - Solidoro P AD - Division of Pulmonology, Cardiothoracic and Vascular Department, AOU Citta della Salute e della Scienza, Turin, Italy. LA - eng PT - Journal Article PT - Review DEP - 20180424 PL - Italy TA - Panminerva Med JT - Panminerva medica JID - 0421110 RN - 0 (Aerosols) RN - 0 (SERPINA1 protein, human) RN - 0 (alpha 1-Antitrypsin) RN - alpha-1-Antitrypsin Deficiency, Autosomal Recessive SB - IM MH - Administration, Inhalation MH - Aerosols MH - Clinical Trials as Topic MH - Humans MH - Liver Diseases/complications MH - Lung MH - Lung Diseases/diagnosis/therapy MH - Lung Transplantation MH - Pulmonary Disease, Chronic Obstructive/diagnosis/therapy MH - Pulmonary Emphysema/diagnosis/therapy MH - Pulmonary Medicine/*methods MH - Societies, Medical MH - alpha 1-Antitrypsin/*administration & dosage/blood MH - alpha 1-Antitrypsin Deficiency/*diagnosis/*therapy EDAT- 2018/04/27 06:00 MHDA- 2018/12/21 06:00 CRDT- 2018/04/27 06:00 PHST- 2018/04/27 06:00 [pubmed] PHST- 2018/12/21 06:00 [medline] PHST- 2018/04/27 06:00 [entrez] AID - S0031-0808.18.03450-X [pii] AID - 10.23736/S0031-0808.18.03450-X [doi] PST - ppublish SO - Panminerva Med. 2018 Sep;60(3):101-108. doi: 10.23736/S0031-0808.18.03450-X. Epub 2018 Apr 24.