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1 Edward Livingston Trudeau Fellow, American Thoracic Society and Assistant Professor of Medicine
The elder of two brothers with homozygous alpha1-antitrypsin deficiency died at age 65 after many years of chronic bronchitis and recurrent pneumonia. His younger brother, a 56-year-old nonsmoker, suffers from persistent bronchitis with only minimal abnormalities of pulmonary function. The lung disease associated with homozygous alpha1-antitrypsin deficiency may thus take the form of chronic bronchitis and not only dry, panacinar emphysema as is often assumed.
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