Case Info - BotMed Application

CaseName

Presentation case 15. Wilson Disease

CaseDescription

Patient was a 55 year old male who presented in the out patient department with a history of swelling of the abdomen and was provisionally assigned a diagnosis of liver cirrhosis on basis of clinical findings and the ultrasound
report. Liver showed coarse echotexture. Portal vein was dilated. Collaterals were seen and gross ascites was present.
However the etiology of cirrhosis was not obvious. The patient denied history of alcohol intake and was negative for hepatitis B and C. A head tremor was noticed at that time but no correlation was made. The patient promised to return for further investigation and was put on diuretics. He improved and returned after a week and confessed that he had been
diagnosed earlier as a case of Wilson’s disease 12 years back at the age of 43 years when he had reported to a hospital for some knee ailment. At that time the attending doctors noticed his head and hand tremor and sent him for MRI following which the eye specialist reported a Kayser-Fleischer ring.
Further biochemical investigations confirmed the diagnosis. At that time the patient did not have any clinically apparent liver disease.

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https://www.ijcmr.com/uploads/7/7/4/6/77464738/ijcmr_2621.pdf