Wilson's disease Flashcards
What is the inheritance of wilson’s disease?
Autosomal recessive
When is the onset of symptoms in Wilson’s disease?
10-25 years
What is Wilson’s disease?
A genetic disorder that causes excessive copper deposition in the tissues
What is the presentation of wilson’s disease?
Hepatitis
Cirrhosis
Basal ganglia degeneration
Speech, behavioural and psychiatric problems
Kayser-Fleischer rings
What investigations are used in the diagnosis of Wilson’s disease?
Slit lamp examination for Kayser-Fleischer rings
Reduced serum caeruloplasmin
Reduced total serum copper
Genetic analysis of ATP7B gene
What is the management of wilson’s disease?
Copper chelating agents
- Penicillamine - first line
- Trientine hydrochloride