Published on September 27 2014

Hepatic copper content is increased in 82% of patients with Wilson disease and usually exceeds 250 µg/g dry weight (normal: up to 50 µg/g). In the absence of other tests suggestive for abnormal copper metabolism, diagnosis of Wilson disease cannot be...

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Written by Bela Kimly

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Published on September 25 2014

Diagnosis is far more complex in patients presenting with liver diseases. None of the commonly used parameters alone allows for a certain diagnosis of Wilson disease. Usually a combination of various laboratory parameters is necessary to establish the...

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Written by Bela Kimly

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Published on September 23 2014

The diagnosis of Wilson disease is usually made on the basis of clinical findings and laboratory abnormalities. According to Sternlieb Scheinberg (1979), diagnosis of Wilson disease http://en.wikipedia.org/wiki/Wilson's_disease can be made if two of the...

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Written by Bela Kimly

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Published on September 21 2014

About one-third of patients initially present with psychiatric abnormalities. Symptoms can include reduced performance in school or at work, depression, a very labile mood, sexual exhibitionism and frank psychosis. Frequently, adolescents with problems...

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Written by Bela Kimly

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Published on September 20 2014

Wilson disease may present, particularly in young patients, with a clinical syndrome indistinguishable from chronic active hepatitis of another etiology. Symptoms include malaise, fatigue, anorexia and vague abdominal complaints. Arthralgias, amenorrhea,...

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Written by Bela Kimly

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Published on September 19 2014

Acute Wilsonian hepatitis is indistinguishable from other forms of acute (viral or toxic) liver diseases. It should be suspected in young patients with acute non-viral hepatitis. Liver histology often reveals the presence of cirrhosis. This initial episode...

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Written by Bela Kimly

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Published on September 18 2014

Characteristically, the ring starts as a small crescent of golden brown granular pigment seen at the top of the limbus. This is followed by the appearance of a lower crescent, and these two crescents gradually broaden, meet laterally and form complete...

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Written by Bela Kimly

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Published on September 17 2014

Wilson disease may present at any age, the oldest reported case was 76 years at the time of diagnosis. The clinical symptoms are highly variable, the most common ones being liver disease and neuropsychiatric disturbances. Children usually present with...

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Written by Bela Kimly

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Published on September 17 2014

Copper is an essential nutrient needed for such diverse processes as mitochondrial respiration (cytochrome C), melanin biosynthesis (tyrosinase), dopamine metabolism (DOPA-mono-oxygenase), iron homeostasis (ceruloplasmin), antioxidant defense (superoxide...

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Written by Bela Kimly

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Published on September 16 2014

The Wilson disease gene was localized to human chromosome 13 by cosegregation of the disease with the red cell enzyme marker, esterase D, in several large Middle Eastern kindred. Further linkage analysis of additional families, using more polymorphic...

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Written by Bela Kimly

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