Presentation
An unusual presentation of copper metabolism disorder and a possible connection with Niemann-Pick type c. [mayoclinic.pure.elsevier.com]
Although liver disease is the most common presenting feature in children, some children may initially present with a subtle neurological presentation only. [ep.bmj.com]
We present here the case of an adolescent with a novel presentation of copper-metabolism disorder who exhibited acute severe hemilingual dyskinesia and prominent tics, with ballismus of the upper limbs, but had normal brain and spinal MRI results and [pediatrics.aappublications.org]
Workup
(See Etiology, Presentation, and Workup.) Although it is extremely rare in clinical practice, Wilson disease is important because it is often fatal if not recognized and treated when symptomatic. [emedicine.medscape.com]
Treatment
When the treatment is initiated in newborn babies prior to two months of age, the neurological degeneration may be prevented, but delayed treatment is considerably less effective. [pubs.rsc.org]
The etiology, pathogenesis, clinical manifestations, diagnosis, and treatment of the disease are discussed. A nursing care plan is presented. [ncbi.nlm.nih.gov]
(Cyprium), to develop novel therapies for the treatment of Menkes disease and related copper metabolism disorders. [globenewswire.com]
Appropriate treatment of Menkes Disease requires that the disease be diagnosed early and treatment started before irreversible brain damage occurs. [clinicaltrials.gov]
Prognosis
[…] copper: reduced 14 free serum copper: increased 14 urinary copper: increased 14 Please see individual articles: Wilson disease: hepatobiliary manifestations Wilson disease: CNS manifestations Wilson disease: musculoskeletal manifestations Treatment and prognosis [radiopaedia.org]
Because early diagnosis and treatment seem to result in a better prognosis, the disorder is ideally detected before age 2 wk. However, diagnostic accuracy of these tests is limited. Thus, other tests are being developed. [merckmanuals.com]
Prognosis Regardless of the way Wilson's disease evolves, it is always fatal, generally before age 30 and usually after years of suffering, unless timely, lifelong, uninterrupted specific treatment is instituted. [diagnose-me.com]
Wilson disease: Treatment and prognosis. https://www.uptodate.com/home. Accessed June 22, 2017. Bandmann O, et al. Wilson's disease and other neurological copper disorders. The Lancet Neurology. 2015;14:103. Wilson disease. [mayoclinic.org]
Etiology
The etiology, pathogenesis, clinical manifestations, diagnosis, and treatment of the disease are discussed. A nursing care plan is presented. [ncbi.nlm.nih.gov]
Liver disease of an unexplained etiology in a patient younger than 40 should raise it as a possibility. It may, however, present as an acute hepatitis. Usually, patients with Wilson’s disease who have neuropsychiatric symptoms also have cirrhosis. [docneuro.com]
Poleník P (1993) Zinc in etiology of periodontal disease. Med Hypotheses 40: 182-185. [omicsonline.org]
Epidemiology
You are (*) If you have selected the “Other” category, please specify which type of user you are: * Email address: * Topic of your comment * Epidemiology data Summary and related texts Related genes Clinical signs Nomenclature and/or coding Your message [orpha.net]
In theoretical part, the epidemiology, forms of manifestation and main clinical symptoms of Wilson´s disease are elaborated. Possibilities of diagnostics and especially treatment of Wilson´s disease are also included in the theoretical part. [theses.cz]
Key Points Wilson's disease is an inborn error of copper metabolism caused by a mutation to the copper-transporting gene ATP7B Epidemiologic clustering of mutations to the ATP7B gene based on ethnicity have been observed Diagnosis of the condition is [nature.com]
Epidemiology In the United States, the carrier frequency is 1 per 90 individuals. The prevalence of Wilson disease is 1 per 30,000 individuals. [emedicine.medscape.com]
Pathophysiology
However, a definite pathophysiological connection between Niemann-Pick type C and copper metabolism disorders has never been established. [mayoclinic.pure.elsevier.com]
This review describes these proteins and examines the clinical consequences of new insights into the pathophysiology of genetic abnormalities affecting iron and copper metabolisms. [jstage.jst.go.jp]
Moreover, a connection between copper-metabolism disorders and tics is presented, to our knowledge, for the first time in humans; further investigation is needed to better establish this connection and understand its underlying pathophysiology. metabolic [pediatrics.aappublications.org]
Pathophysiological consequences of copper deficiency and toxicity characterize these two disorders. [ncbi.nlm.nih.gov]
Prevention
An understanding of the relation between WD and hepatocellular carcinoma will provide clues to help prevent hepatocellular carcinoma in patients with WD. [pubs.rsc.org]
Therefore, it does not clear excess copper from the body, but prevents any further build-up of copper. Zinc is much less likely than penicillamine or trientine to cause side-effects. [patient.info]
"Inherited mutations that prevent copper delivery to a key mitochondrial enzyme perturb energy production and result in fatal mitochondrial disease. Currently, no therapy exists for these disorders." [sciencedaily.com]
The disorder prevents the body from removing extra copper. Wilson disease is often fatal and may cause life threatening organ damage, if not recognized and treated when symptomatic. [vikramsclinic.com]