RT Journal Article SR Electronic T1 'Durate variant with clinical signs' has alpha1 -antitrypsin genotype ZZ. JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 46 OP 48 DO 10.1136/jmg.13.1.46 VO 13 IS 1 A1 Weitkamp, L R A1 Sayre, J W A1 Schwartz, R H A1 Doherty, R A1 Khera, S A YR 1976 UL http://jmg.bmj.com/content/13/1/46.abstract AB A patient with neonatal jaundice and cirrhosis who was previously reported homozygous for the Durate variant of galactose-1-phosphate uridyl transferase has the ZZ genotype for alpha1-antitrypsin. A sister of the patient, also with ZZ genotype, is less severly affected with liver disease and is a heterozygote for the Durate variant. Since a number of patients with ZZ genotype of alpha1-antitrypsin have been previously reported to have liver disease, the latter genotype is the more probable explanation for the patients' clinical state. A question is raised, however, whether the Duarte variant may be specifically associated with the development of liver disease in ZZ individuals.