Wilson's Disease Flashcards

1
Q
A
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2
Q

Define Wilson’s disease.

A

Wilson’s Disease is an autosomal recessive (AR) defect in hepatocellular copper (Cu) transport.

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3
Q

What is the prevalence of Wilson’s Disease? Is it more or less common than haemochromatosis?

A

It affects 1 in 30,000 individuals, making it rarer than haemochromatosis.

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4
Q

At what age does Wilson’s Disease typically present?

A

It usually presents in individuals under 35 years of age.

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5
Q

What is the genetic mutation in Wilson’s Disease?

A

It is caused by mutations in the ATP7B gene located on chromosome 13.

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6
Q

Describe copper metabolism.

A
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7
Q

Where does copper deposit in Wilson’s Disease?

A

Excess copper deposits in:

Liver → Causing hepatocellular damage and cirrhosis.
Brain → Leading to neurological symptoms.
Eyes → Seen as Kayser-Fleischer rings.

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8
Q

Describe the full pathogenesis of wilson’s disease.

A
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9
Q

List the symptoms of wilson’s disease.

A
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10
Q

What in the panda sign in the context of Wilson’s disease?

A
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11
Q

List the exam findings in wilson’s disease.

A
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12
Q

List some ddx for wilson’s disease.

A
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13
Q

List the diagnostic investigations for wilson’s disease.

A
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14
Q

How will you grade Wilson’s disease?

A
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15
Q

Outline the prevention and lifestyle management of wilson’s disease.

A
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16
Q

What is the SEs of the following drugs:
1. penicillamine
2. trientine

A
17
Q

Outline the pharmacological and surgical management of wilson’s disease.

A

surgical - liver transplant if criteria met

18
Q

Outline the acute management of wilson’s disease.

A
19
Q

Outline the FULL management of wilson’s disease.

A
20
Q

What are the complications of wilson’s disease?

A