Alpha-1-antitrypsin Deficiency In Children

WHAT YOU SHOULD KNOW:

Alpha-1 antitrypsin deficiency (AATD) is a condition that increases your child's risk for lung and liver damage. Alpha-1 antitrypsin (AAT) is made by your child's liver and protects his lungs and liver from infections and inflammation. His body may not be able to make enough AAT if he was born with abnormal genes that make AAT. If the AAT his liver makes is faulty, it can cause liver inflammation, damage, and may lead to liver failure. He may also develop AATD if tobacco smoke or chemical fumes decrease his AAT levels.

CARE AGREEMENT:

You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's caregivers to decide what care you want for your child.

RISKS:

  • Your child may have side effects from the treatment for AATD. Even with treatment, his symptoms may get worse. AATD may cause liver problems that can worsen as your child ages. Damage to the liver may lead to cirrhosis, liver disease, or cancer. Infections and alcohol may increase your child's risk for liver disease. During a liver transplant, your child may get an infection or bleed too much. There is a chance your child's new liver will not work at all. Your child's symptoms may take some time to decrease or go away.

  • If AATD is not treated, your child's liver and lungs may continue to be damaged as he grows up. He may not gain weight or grow as fast as other children his age. Tumors and scars may appear on your child's liver and cause it to become hard and stop working. His eyes and skin may turn yellow, and he may bleed and bruise easily. Your child's kidneys may also be damaged and stop working. He may have trouble breathing and get tired easily. AATD may lead to lung disease such as emphysema or other lung disease. He may die if his lungs have too much damage. His kidneys, skin, and blood vessels may also be harmed by AATD.

WHILE YOU ARE HERE:

Informed consent

is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

An IV

is a small tube placed in your child's vein that is used to give him medicine or liquids.

Vital signs:

Caregivers will check your child's blood pressure, heart rate, breathing rate, and temperature. They will also ask you or your child about his pain. These vital signs give caregivers information about your child's current health.

Medicines:

Diuretics:

This medicine may be given to help your child's body and lungs get rid of extra fluid. This can help your child breathe easier. Diuretics may make your child urinate more often.

Tests:

  • Blood tests: Your child may need blood tests to give caregivers information about how his body is working. The blood may be taken from your child's arm, hand, finger, foot, heel, or IV.

  • CT scan: This is also called a CAT scan. A special x-ray machine uses a computer to take pictures of your child's abdomen. It may be used to look at your liver and blood vessels. Your child may be given dye by mouth or in an IV before the pictures are taken. The dye may help your child's caregiver see the pictures better. People who are allergic to iodine or shellfish (lobster, crab, or shrimp) may be allergic to some dyes. Tell the caregiver if your child is allergic to shellfish, or has other allergies or medical conditions.

  • Liver biopsy: Using an ultrasound as a guide, caregivers put a needle through your child's skin and into his liver. Tissue samples may be taken and sent to a lab for tests. These samples may also tell caregivers how damaged your child's liver is.

  • Ultrasound: This test uses sound waves to show pictures of your child's organs and tissues on a screen. Ultrasound may be done to looks inside of your child's abdomen.

Treatments:

  • Nutrition: Ask your child's caregiver if you need to change the foods your child eats. He may need to eat foods that are high in calories and vitamins to get proper nutrition.

  • Surgery: Your child may need surgery to repair organs damaged by AATD. If your child's liver gets badly damaged, he may need a liver transplant.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Alpha-1-antitrypsin Deficiency In Children (Inpatient Care)

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