威尔逊氏病：诊断难题。
Wilson's disease: a diagnostic dilemma.
作者信息
Nazer H, Larcher V F, Ede R J, Mowat A P, Williams R
出版信息
Br Med J (Clin Res Ed). 1983 Jul 30;287(6388):313-4. doi: 10.1136/bmj.287.6388.313.
Abstract
A 13 year old boy presented with headache, sore throat, myalgia, and fever and subsequently developed haemolytic anaemia and acute liver failure. Wilson's disease, a rare cause of acute liver failure, was diagnosed at necropsy. In such cases Wilson's disease must be diagnosed at an early stage for treatment to be effective. The most reliable indications are increased urinary and hepatic copper concentrations.
摘要
一名13岁男孩出现头痛、咽痛、肌痛和发热症状，随后发展为溶血性贫血和急性肝衰竭。尸检诊断为威尔逊病，这是急性肝衰竭的罕见病因。在这类病例中，威尔逊病必须早期诊断才能使治疗有效。最可靠的指征是尿铜和肝铜浓度升高。
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本文引用的文献
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Diagnosis of Wilson's disease presenting as fulminant hepatic failure.以暴发性肝衰竭为表现的威尔逊病的诊断
Gastroenterology. 1983 Jan;84(1):161-7.
2
Wilson's disease. Clinical and laboratory maniestations in 40 patients.威尔逊氏病。40例患者的临床及实验室表现
Medicine (Baltimore). 1975 Mar;54(2):113-37.
3
Wilson's disease. A treatable liver disease in children.威尔逊氏病。一种可治疗的儿童肝脏疾病。
Pediatr Clin North Am. 1975 Nov;22(4):963-84.
4
Acute intravascular hemolysis and acute liver failure associated as a first manifestation of Wilson's disease.急性血管内溶血和急性肝衰竭作为威尔逊病的首发表现相关联。
Ann Intern Med. 1977 Mar;86(3):301-3. doi: 10.7326/0003-4819-86-3-301.
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Wilson's disease, presenting as chronic active hepatitis.威尔逊氏病，表现为慢性活动性肝炎。
Gastroenterology. 1978 Apr;74(4):645-51.
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