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Alpha 1-antitrypsin deficiency.

Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates, 1992
alpha 1-Antitrypsin (AAT) is a polymorphic protein with many variants collectively known as the Pi system. The most common alleles are the M, S and Z, which are co-dominantly inherited. Infants with PiZZ have approximately 16% of the normal AAT serum concentration.
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Hereditary Alpha1-Antitrypsin Deficiency

New England Journal of Medicine, 1968
exaly  

Alpha-1 Antitrypsin Deficiency

Gastroenterology Nursing, 2006
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