PMID- 6980239 OWN - NLM STAT- MEDLINE DCOM- 19820924 LR - 20190817 IS - 0192-0790 (Print) IS - 0192-0790 (Linking) VI - 4 IP - 3 DP - 1982 Jun TI - Alpha-1-antitrypsin deficiency--a cause of cryptogenic liver disease in the elderly. PG - 269-73 AB - We report a 73-year-old woman with homozygous ZZ alpha-1-antitrypsin deficiency (AATD), micronodular cirrhosis, cholestatic jaundice, and emphysema. An elevated SGOT/SGPT ratio was noted in the absence of chronic alcoholism. ERCP demonstrated a normal extrahepatic biliary system and suggested obstruction of the intrahepatic ducts. An operative liver biopsy demonstrated periodic acid-Schiff-positive, diastase resistant intracytoplasmic inclusion bodies. This patient reminds us that metabolic causes of cryptogenic liver disease need to be considered, even in the elderly. We review briefly the literature concerning AATD and liver disease. FAU - Battle, W M AU - Battle WM FAU - Matarazzo, S A AU - Matarazzo SA FAU - Selhat, G F AU - Selhat GF FAU - Catalano, E AU - Catalano E LA - eng PT - Case Reports PT - Journal Article PL - United States TA - J Clin Gastroenterol JT - Journal of clinical gastroenterology JID - 7910017 RN - 0 (alpha 1-Antitrypsin) SB - IM MH - Aged MH - Alleles MH - Female MH - Humans MH - Liver/pathology MH - Liver Cirrhosis/*etiology MH - Liver Function Tests MH - Phenotype MH - alpha 1-Antitrypsin/genetics MH - *alpha 1-Antitrypsin Deficiency EDAT- 1982/06/01 00:00 MHDA- 1982/06/01 00:01 CRDT- 1982/06/01 00:00 PHST- 1982/06/01 00:00 [pubmed] PHST- 1982/06/01 00:01 [medline] PHST- 1982/06/01 00:00 [entrez] AID - 10.1097/00004836-198206000-00014 [doi] PST - ppublish SO - J Clin Gastroenterol. 1982 Jun;4(3):269-73. doi: 10.1097/00004836-198206000-00014.