Article ; Online: ATP7B Mutation Analysis: Wilson Disease, A Difficult to Diagnose Case.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
2020 Volume 30, Issue 4, Page(s) 433–434
Abstract: Wilson's Disease (WD) is a common metabolic disorder predominantly involving liver, brain, and eyes. Pancreatic, renal, psychiatric, and cardiac involvement have also been described. No single investigation can be considered diagnostic of WD; therefore, ... ...
Abstract | Wilson's Disease (WD) is a common metabolic disorder predominantly involving liver, brain, and eyes. Pancreatic, renal, psychiatric, and cardiac involvement have also been described. No single investigation can be considered diagnostic of WD; therefore, diagnosis is based upon a series of tests best interpreted using Wilson disease diagnostic index (WDDI). We present a difficult-to-diagnose, 9-year girl of consanguineous parents, with chronic liver disease and portal hypertension. Initial workup was equivocal with significantly low serum ceruloplasmin, normal urinary copper excretion and absent Kaiyser-Fleischer (KF) rings. Diagnosis was established by ATP7B mutation analysis. The patient was found homozygous for c.3955C>T (p.Arg1319Ter) in exon 19, a rare mutation described in literature, which results in premature truncation of peptide chain. Key Words: ATP7B, Wilson disease, Copper, Mutations, Hepatolenticular degeneration. |
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MeSH term(s) | Copper ; DNA Mutational Analysis ; Female ; Hepatolenticular Degeneration/diagnosis ; Hepatolenticular Degeneration/genetics ; Humans ; Mutation |
Chemical Substances | Copper (789U1901C5) |
Language | English |
Publishing date | 2020-06-08 |
Publishing country | Pakistan |
Document type | Case Reports |
ZDB-ID | 2276646-7 |
ISSN | 1681-7168 ; 1022-386X |
ISSN (online) | 1681-7168 |
ISSN | 1022-386X |
DOI | 10.29271/jcpsp.2020.04.433 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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