28 Wilson's Disease

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• Teenage years Signs and Symptoms • Silent disease until intra-hepatic and extra-hepatic copper deposition begins to manifest clinically – Age 6-30 • Incidental elevated LFT Overt liver failure • <strong>28</strong>2 patients: – Neurologic 69% • Parkinsonism, Dystonia, Cerebellar and Pyramidal sings – Hepatic 15% – Hepato-neurologic 2.5% – Osseomuscular 2% – Pure psychiatric 2% – Asymptomatic 5%
Our patient’s slit lamp exam
Page 1 and 2: Morning Report Chief Residents July
Page 3 and 4: • 1 wk of RUQ pain, NV, fatigue
Page 5 and 6: Physical Exam Vitals: T36.6 HR67 RR
Page 7: Wilson’s Disease • AR defect in
Page 10: 2 diseases involving Cu transport W
Page 13: Fatty infiltration and portal fibro
Page 18 and 19: Diagnosis • Coomb’s negative he
Page 20 and 21: • 2 phases - Removal of copper Tr
Page 22 and 23: • Trientine - Cu chelator Chelato
Page 24 and 25: Dietary Recommendations • Limit i
Page 26 and 27: Liver Transplant Complications •
Page 28 and 29: Back to our patient…. Listed as 1

28 Wilson's Disease

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