Wilson’s disease presentation resembling autoimmune hepatitis

We report a case of a 25-year-old female patient who showed chronic hepatopathy with elevated levels of autoantibodies and gamma globulins, resembling autoimmune hepatitis. After 8 weeks of unsuccessful immunosuppressive treatment, further evaluation showed laboratorial and histological findings sug...

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Veröffentlicht in:	BMJ case reports 2019-10, Vol.12 (10), p.e230721
Hauptverfasser:	Santos, Bruno Campos, Guedes, Ludmila Resende, Faria, Luciana Costa, Couto, Claudia Alves
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Case reports Chelating Agents - therapeutic use Chronic illnesses Clinical medicine Copper Diagnosis, Differential Epidemiology Female Hepatitis hepatitis other Hepatitis, Autoimmune - diagnosis Hepatolenticular Degeneration - diagnosis Hepatolenticular Degeneration - drug therapy Humans Liver liver disease Liver diseases Patients Penicillamine - therapeutic use Transplants & implants Ultrasonic imaging Unusual Presentation of More Common Disease/Injury
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Beschreibung
Zusammenfassung:	We report a case of a 25-year-old female patient who showed chronic hepatopathy with elevated levels of autoantibodies and gamma globulins, resembling autoimmune hepatitis. After 8 weeks of unsuccessful immunosuppressive treatment, further evaluation showed laboratorial and histological findings suggestive of Wilson’s disease. The new treatment with D-penicillamine resulted in positive outcome, despite the initial misleading diagnosis.
ISSN:	1757-790X 1757-790X
DOI:	10.1136/bcr-2019-230721