Wilson's disease: acute and presymptomatic laboratory diagnosis and monitoring

被引:49
作者
Gaffney, D [1 ]
Fell, GS [1 ]
O'Reilly, DS [1 ]
机构
[1] Glasgow Royal Infirm, Dept Biochem, Glasgow G4 0SF, Lanark, Scotland
关键词
Wilson's disease; copper; diagnosis;
D O I
10.1136/jcp.53.11.807
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Wilson's disease, the most common inherited disorder of copper metabolism, is a recessive genetic condition. The clinical presentation of Wilson's disease is very variable. It is characterised by low serum copper and caeruloplasmin concentrations coupled with the pathological accumulation of copper in the tissues. However, there are diagnostic difficulties and these are discussed. The current value of DNA diagnosis, both in gene tracking in families or as applied to de novo cases, is examined. Wilson's disease can be treated successfully but treatment must be life long. Patients are best treated by specialist centres with experience and expertise in the condition.
引用
收藏
页码:807 / 812
页数:6
相关论文
共 35 条
[1]   PRACTICAL RECOMMENDATIONS AND NEW THERAPIES FOR WILSONS-DISEASE [J].
BREWER, GJ .
DRUGS, 1995, 50 (02) :240-249
[2]   THE WILSON DISEASE GENE IS A PUTATIVE COPPER TRANSPORTING P-TYPE ATPASE SIMILAR TO THE MENKES GENE [J].
BULL, PC ;
THOMAS, GR ;
ROMMENS, JM ;
FORBES, JR ;
COX, DW .
NATURE GENETICS, 1993, 5 (04) :327-337
[3]   MRI manifestations of Wilson's disease and its change in response to treatment [J].
Chou, MS ;
Kuo, YT ;
Wang, CK ;
Chen, CY ;
Liu, JS .
RIVISTA DI NEURORADIOLOGIA, 1998, 11 :31-34
[4]   VALUE OF URINARY COPPER EXCRETION AFTER PENICILLAMINE CHALLENGE IN THE DIAGNOSIS OF WILSONS-DISEASE [J].
DACOSTA, CM ;
BALDWIN, D ;
PORTMANN, B ;
LOLIN, Y ;
MOWAT, AP ;
MIELIVERGANI, G .
HEPATOLOGY, 1992, 15 (04) :609-615
[5]  
DANKS DM, 1995, METABOLIC MOL BASES, V2, P2211
[6]   Defective biliary copper excretion in Wilson's disease: The role of caeruloplasmin [J].
Davis, W ;
Chowrimootoo, GFE ;
Seymour, CA .
EUROPEAN JOURNAL OF CLINICAL INVESTIGATION, 1996, 26 (10) :893-901
[7]   UNEVEN HEPATIC COPPER DISTRIBUTION IN WILSONS-DISEASE [J].
FAA, G ;
NURCHI, V ;
DEMELIA, L ;
AMBU, R ;
PARODO, G ;
CONGIU, T ;
SCIOT, R ;
VANEYKEN, P ;
SILVAGNI, R ;
CRISPONI, G .
JOURNAL OF HEPATOLOGY, 1995, 22 (03) :303-308
[8]   ASSIGNMENT OF THE GENE FOR WILSON DISEASE TO CHROMOSOME-13 - LINKAGE TO THE ESTERASE-D LOCUS [J].
FRYDMAN, M ;
BONNETAMIR, B ;
FARRER, LA ;
CONNEALLY, PM ;
MAGAZANIK, A ;
ASHBEL, S ;
GOLDWITCH, Z .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1985, 82 (06) :1819-1821
[9]   DNA-BASED PRESYMPTOMATIC DIAGNOSIS OF WILSON DISEASE [J].
GAFFNEY, D ;
WALKER, JL ;
ODONNELL, JG ;
FELL, GS ;
ONEILL, KF ;
PARK, RHR ;
RUSSELL, RI .
JOURNAL OF INHERITED METABOLIC DISEASE, 1992, 15 (02) :161-170
[10]  
Gollan John L., 1998, Journal of Hepatology, V28, P28, DOI 10.1016/S0168-8278(98)80373-5