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[Wilson disease].
- Source :
-
Der Internist [Internist (Berl)] 2018 Feb; Vol. 59 (2), pp. 159-174. - Publication Year :
- 2018
-
Abstract
- Wilson disease is a rare hereditary disorder of copper metabolism. The genetic defect is caused by various mutations in the copper-transporting enzyme ATP7B, located mainly in the liver and brain. Clinical symptoms are highly variable, with any combination of hepatic and/or neurological or psychiatric manifestations. The age of onset varies from early childhood to young adults and can even be manifested in later ages. The clinical diagnosis is based on a combination of clinical, biochemical and molecular markers. Treatment using chelating agents and zinc salts is effective when started early or even better at presymptomatic stages of the disease.
- Subjects :
- Adolescent
Adult
Age Factors
Brain metabolism
Chelating Agents therapeutic use
Child
Child, Preschool
Copper toxicity
Copper-Transporting ATPases genetics
DNA Mutational Analysis
Diagnosis, Differential
Genetic Markers genetics
Hepatolenticular Degeneration genetics
Hepatolenticular Degeneration therapy
Humans
Liver metabolism
Liver Function Tests
Mental Disorders diagnosis
Mental Disorders genetics
Mental Disorders therapy
Young Adult
Hepatolenticular Degeneration diagnosis
Subjects
Details
- Language :
- German
- ISSN :
- 1432-1289
- Volume :
- 59
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Der Internist
- Publication Type :
- Academic Journal
- Accession number :
- 29340742
- Full Text :
- https://doi.org/10.1007/s00108-017-0378-x