What are the symptoms of inherited emphysema?

Alpha one?: Are you referring to alpha-1 antitrypsin deficiency? If so, the symptoms are basically the same as copd, they just occur at a younger age than expected (like 20-30s). Symptoms include cough, shortness of breath, wheezing, etc. If the person smokes, the disease is accelerated. Diagnosis is made via a blood test. Treatment includes enzyme replacement as well as usual COPD therapies.