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 |
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| container_title | BMJ case reports |
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| creator | Santos, Bruno Campos Guedes, Ludmila Resende Faria, Luciana Costa Couto, Claudia Alves |
| description | 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. |
| doi_str_mv | 10.1136/bcr-2019-230721 |
| format | Article |
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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.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2019-230721</identifier><identifier>PMID: 31653624</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>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</subject><ispartof>BMJ case reports, 2019-10, Vol.12 (10), p.e230721</ispartof><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2019 BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. 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After 8 weeks of unsuccessful immunosuppressive treatment, further evaluation showed laboratorial and histological findings suggestive of Wilson’s disease. 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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | 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 |
| title | Wilson’s disease presentation resembling autoimmune hepatitis |
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