Wilson’s diseaseis an inherited disorder of copper homeostasis with failure to excrete excess amounts of copper, leading to an accumulation in the liver. This disorder is relatively uncommon, affecting 1 in 30,000 individuals. Wilson’s disease typically affects adolescents and young adults. Prompt diagnosis before end-stage manifestations become irreversible can lead to significant clinical improvement. Diagnosis requires determination of ceruloplasmin levels, which are low; 24-hour urine copper levels, which are elevated; typical physical examination findings, including KayserFleischer corneal rings, and characteristic liver biopsy findings. Treatment consists of copper-chelating medications.
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