Saturday 14 November 2015

Alpha-1 antitrypsin deficiency | PGI entrance Preparations

True about alpha-1 antitrypsin deficiency, is are: A. Autosomal dominant 
B. Pulmonary emphysema 
C. Diastase resistant hepatic cells 
D. Hepatic cells are orcein stain positive 
E. Associated with berry aneurysm



Ans. B. Pulmonary emphysema ; (C) Diastase resistant hepatic cells
alpha1-anti-trypsin deficiency, is an autosomal recessive diseasemarked by abnormally low levels of (serum) of this major protease inhibitor (Pi) 
• Deficiency of the enzyme leads to pulmonary emphysema.
• It is characterised by 
— Presence of round to oval cytoplasmic globular inclusions in hepatocytes which on H and E stains show acidophilic and indistinctly demarcated from surrounding cytoplasm. In most part, only distinctive feature is globules. Infrequently-fatty change, mallory bodies