scholarly journals Wilson’s disease presentation resembling autoimmune hepatitis

2019 ◽  
Vol 12 (10) ◽  
pp. e230721
Author(s):  
Bruno Campos Santos ◽  
Ludmila Resende Guedes ◽  
Luciana Costa Faria ◽  
Claudia Alves Couto

We report a case of a 25-year-old female patient who showed chronic hepatopathy with elevated levels of autoantibodies and gamma globulins, resembling autoimmune hepatitis. After 8 weeks of unsuccessful immunosuppressive treatment, further evaluation showed laboratorial and histological findings suggestive of Wilson’s disease. The new treatment with D-penicillamine resulted in positive outcome, despite the initial misleading diagnosis.

Author(s):  
Marcella Masciullo ◽  
Anna Modoni ◽  
Maria Laura Ester Bianchi ◽  
Sara De Carolis ◽  
Gabriella Silvestri

2017 ◽  
Vol 5 (1-2) ◽  
pp. 72-74
Author(s):  
Md Wahiduzzaman Mazumder ◽  
ASM Bazlul Karim ◽  
Nazma Begum ◽  
Md Nurullah ◽  
Lina Florance Karmoker

The association of Wilson’s disease (WD) with autoimmune hepatitis (AIH) has rarely been documented. The difficulties in differential diagnosis of WD and AIH have seen specially in the paediatric population. Children with WD specially in younger ones, may have clinical features indistinguishable from autoimmune hepatitis. We report a case of 8-year old girl child who presented with jaundice, anaemia, leg oedema and arthritis. Ultimately the patient was diagnosed as a case of WD with AIH after meticulous investigation. Treatment was started with prednisolone, d-penicillamine and subsequently prednisolone was tapered with addition of azathioprine. D-penicillamine was stopped, with clinical and biochemical improvement and zinc was added to continue life-long. Follow up after 8 months of initial treatment she was non anaemic and non-icteric. Her leg oedema and arthritis also subsided. Liver biochemistry returned to normal level. It is important therefore to recommend strongly a thorough screening for AIH in patients with initial diagnosis of WD and also screening for WD for patients presenting with AIH. So a combined therapy may be of early benefit. Ibrahim Card Med J 2015; 5 (1&2): 72-74


2004 ◽  
Vol 19 (1) ◽  
pp. 114-116 ◽  
Author(s):  
Serkan Yener ◽  
Mesut Akarsu ◽  
Cuneyt Karacanci ◽  
Bulent Sengul ◽  
Omer Topalak ◽  
...  

2019 ◽  
Vol 14 (0) ◽  
pp. 120-124
Author(s):  
N.Yu. Zavhorodnia ◽  
O.Yu. Lukianenko ◽  
N.O. Zhigir

2020 ◽  
Vol 95 (1) ◽  
pp. 18-24
Author(s):  
Magdalena Naorniakowska ◽  
Małgorzata Woźniak ◽  
Maciej Pronicki ◽  
Wiesława Grajkowska ◽  
Diana Kamińska ◽  
...  

2013 ◽  
Vol 13 (5) ◽  
Author(s):  
Melanie Deutsch ◽  
Theodoros Emmanuel ◽  
John Koskinas

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