%0 Journal Article %T D¨¦ficit de alfa 1 antitripsina %A P¨¦rez Lorenzo %A Marlene %A Brizuela Quintanilla %A Ra¨²l %A Montero Gonz¨¢lez %A Teresita %A Infante Vel¨¢zquez %A Mirtha %A Franco Estrada %A Silvia %A Duarte Castillo %A Niuvisvey %J Revista Cubana de Medicina Militar %D 2006 %I ECIMED %X the case of a white female 15-year-old patient, whose clinical onset was suggestive of a cholestatic acute viral hepatitis was presented. during her evolution, it was observed a frank impairment of the hepatic function, with predominance of portal hypertension elements. she died as a result of a high digestive bleeding caused by esophageal varices. the postmortem study showed hepatic alterations consistent with hepatic cirrhosis due to a deficit of alpha 1-antitrypsine. the uncommon presentation of this entity, its extremely severe clinical evolution, and the clinical form in which it manifested, which made it indistinguishable from an acute viral hepatitis, were stressed %K deficit of alpha 1-antitrypsin. %U http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0138-65572006000100010&lng=en&nrm=iso&tlng=en