献血を契機に発見された無症候性Ｗｉｌｓｏｎ病の１例

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タイトル別名
  • A case of asymptomatic Wilson's disease
  • ケンケツ オ ケイキ ニ ハッケンサレタ ム ショウコウセイ Wilsonビョ

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説明

A 16 year-old boy was found to have elevated levels of serum transaminases in the screening test of blood donor. He was asymptomatic and family history was negative for liver or neuropsychiatric disorder.<BR>Further examination disclosed a characteristic feature of copper metabolism to Wilson's disease: hypocupremia, hypoceruloplasminemia and increased urinary excretion of copper. But Kayser Fleischer ring and extrapyramidal symptoms were not recognized. The histology of liver consisted with chronic active hepatitis with fatty metamorphosis and glycogen nuclei. Copper concentration was high as 1025μg per gram dry liver weight. A final diagnosis of asymptomatic Wilson's disease was made and D-penicillamine therapy was instituted uneventfully.

収録刊行物

  • 肝臓

    肝臓 24 (6), 654-658, 1983

    一般社団法人　日本肝臓学会

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