- Last edited on April 30, 2020
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Wilson's Disease
Primer
Wilson's Disease is a rare autosomal recessive disorder that results in copper build up in the body. There are both neuropsychiatric and GI/hepatic signs and symptoms.
Prevalence
Wilson's disease occurs in about 1 in 30,000 people. Symptoms usually begin between the ages of 5 and 35 years. Males and females are equally affected.
Symptoms
- Hepatic/GI symptoms include vomiting, weakness, ascites, edema, jaundice, and jaundice-associated pruritis.
Pathophysiology
Wilson's disease is an autosomal recessive disorder. It is due to a mutation in the Wilson disease protein (ATP7B) gene.
Investigations
- Serum ceruloplasmin level and 24-hour urinary copper excretion should be ordered in young patients presenting with tremor to rule out Wilson's
- A CT head will often show signs of neurodegenerative disease
Physical Exam
- “Wing-beating” tremor
- Kayser-Fleischer rings are seen on ophthalmoscopic examination by slit lamp