RT Journal Article SR Electronic T1 Alpha1-antitrypsin deficiency with M-like phenotype. JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 183 OP 186 DO 10.1136/jmg.14.3.183 VO 14 IS 3 A1 Kueppers, F A1 Utz, G A1 Simon, B YR 1977 UL http://jmg.bmj.com/content/14/3/183.abstract AB A patient with a low serum concentration of alpha1-antitrypsin (0-1 g/l) but with an M-like phenotype is described. Her parents and 2 sibs have a PIM phenotype, but all except the father have approximately half-normal levels of alpha1-antitrypsin: The M-like variant apparently cannot be distinguished from M-alpha1-antitrypsin, when it occurs with M in heterozygotes. The proposita has severe airways obstruction and emphysema, and her father has moderate chronic obstructive pulmonary disease. The mother and 2 sibs are healthy.