Internal medicine (Tokyo, Japan) · 2023
Late-onset Wilson Disease in a Patient Followed-up for Nonalcoholic Fatty Liver Disease.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Asano Takeharu, Yoshikawa Shuhei, Matsumoto Keita, Kashima Hitomi, Koito Yudai, Miura Takaya, Takahashi Yuko, Tsuboi Rumiko, Ishii Takehiro, Otake Haruka, Uehara Takeshi, Sekine Masanari, Matsumoto Satohiro, Asabe Shinichi, Miyatani Hiroyuki, Mashima Hirosato
Аннотация
A 73-year-old woman was referred to our hospital for persistent liver dysfunction. When the patient was 45 years old, her youngest sister had been diagnosed with Wilson disease (WD). The patient therefore underwent several family screening tests, all of which were unremarkable. She had an annual medical checkup and was diagnosed with liver dysfunction and fatty liver at 68 years old. A liver biopsy and genetic testing were performed, and she was diagnosed with WD; chelation therapy was then initiated. In patients with hepatic disorders and a family history of WD, multiple medical examinations should be conducted, as the development of WD is possible regardless of age.