A Swedish family with α1-antitrypsin deficiency, haemochromatosis, haemoglobinopathy D and early death in liver cirrhosis *

Summary We report a unique family with chronic liver disease associated with three different inborn errors, α 1 -antitrypsin deficiency, hereditary haemochromatosis and haemoglobinopathy Hb-D Punjab. The probability of acquiring these three rare genes is less than 1/10 9 . In one generation 4 of 5 individuals have died of liver failure between 51 and 63 years of age.