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威尔逊氏病:病理生理学、诊断、治疗及筛查

Wilson disease: pathophysiology, diagnosis, treatment, and screening.

作者信息

Ala Aftab, Schilsky Michael L

机构信息

Division of Liver Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA.

出版信息

Clin Liver Dis. 2004 Nov;8(4):787-805, viii. doi: 10.1016/j.cld.2004.06.005.

DOI:10.1016/j.cld.2004.06.005
PMID:15464656
Abstract

Wilson disease is an autosomal recessive condition of copper metabolism that was once considered fatal. The identification of the gene for Wilson disease has led to a better understanding of the molecular defect underlying this disorder and has impacted on disease diagnosis for some individuals. Medical therapy with chelating agents or zinc salts remains the mainstay of therapy for most patients, and liver transplant is lifesaving for those with advanced disease refractory to medical therapy or with fulminant hepatic failure. Future cell-based and genetic therapies may provide a cure for this disorder.

摘要

威尔逊病是一种常染色体隐性铜代谢疾病,曾被认为是致命的。威尔逊病基因的鉴定使人们对该疾病潜在的分子缺陷有了更好的理解,并对一些患者的疾病诊断产生了影响。对大多数患者而言,使用螯合剂或锌盐进行药物治疗仍然是主要的治疗方法,对于那些药物治疗无效的晚期患者或暴发性肝衰竭患者,肝移植是挽救生命的方法。未来基于细胞和基因的疗法可能会治愈这种疾病。

相似文献

1
Wilson disease: pathophysiology, diagnosis, treatment, and screening.威尔逊氏病:病理生理学、诊断、治疗及筛查
Clin Liver Dis. 2004 Nov;8(4):787-805, viii. doi: 10.1016/j.cld.2004.06.005.
2
Wilson disease: current status and the future.威尔逊氏病:现状与未来
Biochimie. 2009 Oct;91(10):1278-81. doi: 10.1016/j.biochi.2009.07.012. Epub 2009 Jul 30.
3
Wilson disease: genetic basis of copper toxicity and natural history.威尔逊氏病:铜毒性的遗传基础与自然病史
Semin Liver Dis. 1996 Feb;16(1):83-95. doi: 10.1055/s-2007-1007221.
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Wilson disease--a practical approach to diagnosis, treatment and follow-up.威尔逊氏病——诊断、治疗及随访的实用方法
Dig Liver Dis. 2007 Jul;39(7):601-9. doi: 10.1016/j.dld.2006.12.095. Epub 2007 Mar 26.
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[Therapy of Wilson disease].[威尔逊氏病的治疗]
Z Gastroenterol. 1999 Apr;37(4):293-300.
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[Hepatic Wilson's disease: clinical presentation and prognosis. Indications for liver transplantation].
Minerva Gastroenterol Dietol. 1994 Dec;40(4):191-5.
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Therapeutic plasmapheresis as a bridge to liver transplantation in fulminant Wilson disease.治疗性血浆置换作为暴发性威尔逊病肝移植的桥梁。
J Clin Apher. 2007 Feb;22(1):10-4. doi: 10.1002/jca.20118.
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Wilson disease.威尔逊氏病
Mayo Clin Proc. 2003 Sep;78(9):1126-36. doi: 10.4065/78.9.1126.
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[Current principles of Wilson's disease--diagnosis and treatment].[威尔逊氏病的当前诊断与治疗原则]
Wiad Lek. 2002;55(9-10):600-7.
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Wilson's disease.威尔逊氏病
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引用本文的文献

1
Biomarker Discovery in Wilson's Disease-A Path Toward Improved Diagnosis and Management: A Comprehensive Review.威尔逊病的生物标志物发现——通往改善诊断和管理之路:全面综述
Mol Neurobiol. 2025 Jun 18. doi: 10.1007/s12035-025-05143-6.
2
Early Diagnosis of Wilson's Disease in Children in Southern China by Using Common Parameters.利用常见参数对中国南方儿童肝豆状核变性进行早期诊断
Front Genet. 2022 Feb 10;13:788658. doi: 10.3389/fgene.2022.788658. eCollection 2022.
3
Diagnosis and long-term management of Wilson disease.肝豆状核变性的诊断与长期管理
Gastroenterol Hepatol (N Y). 2007 Jan;3(1):27-9.
4
Clinical and molecular characterization of Wilson's disease in China: identification of 14 novel mutations.中国Wilson 病的临床和分子特征:鉴定出 14 种新突变。
BMC Med Genet. 2011 Jan 11;12:6. doi: 10.1186/1471-2350-12-6.
5
Clinical application of liver MR imaging in Wilson's disease.肝脏磁共振成像在 Wilson 病中的临床应用。
Korean J Radiol. 2010 Nov-Dec;11(6):665-72. doi: 10.3348/kjr.2010.11.6.665. Epub 2010 Oct 29.
6
Urinary copper/zinc ratio: a promising parameter for replacement of 24-hour urinary copper excretion for diagnosis of Wilson's disease in children.尿铜/锌比值:替代 24 小时尿铜排泄量用于儿童 Wilson 病诊断的有前途的参数。
World J Pediatr. 2010 May;6(2):148-53. doi: 10.1007/s12519-010-0023-4. Epub 2010 Feb 1.
7
High frequency of the c.3207C>A (p.H1069Q) mutation in ATP7B gene of Lithuanian patients with hepatic presentation of Wilson's disease.立陶宛肝型威尔逊病患者ATP7B基因中c.3207C>A(p.H1069Q)突变的高频率。
World J Gastroenterol. 2008 Oct 14;14(38):5876-9. doi: 10.3748/wjg.14.5876.