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1000
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Abstract/Summary
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<jats:p><jats:bold>Background:</jats:bold> Wilson's disease (WD) is a rare condition; its diagnosis is challenging owing to a wide spectrum of <jats:italic>ATP7B</jats:italic> genotypes and variable clinical phenotypes, along with environmental factors. Few cases of WD with presentation of skin lesions and acute neurovisceral symptoms have been reported in the literature. To our knowledge, this is the first reported case of WD with an uncommon <jats:italic>ATP7B</jats:italic> gene mutation and rare symptoms of photosensitivity, sensation abnormality, and skin eruption occurring in a 19-year-old woman.</jats:p><jats:p><jats:bold>Case presentation:</jats:bold> We report the case of a 19-year-old woman with WD presenting with liver failure, skin manifestations, and acute neurovisceral symptoms.The rare mutation in intron 1 of ATP7B (c.51+2T &gt; G) was further confirmed by gene sequencing. The patients' symptoms improved after administration of penicillamine and zinc therapy combined with plasma exchange. She received long-term penicillamine treatment, and her liver function was within the normal range at 1 year after discharge. However, she underwent liver transplantation at 1.5 years after discharge.</jats:p><jats:p><jats:bold>Conclusions:</jats:bold> We present a case of WD with a novel <jats:italic>ATP7B</jats:italic> gene mutation that may serve as a reference to generalists and specialists in hepatology or neurology of the rare clinical characteristics of WD, to prevent misdiagnosis and aid in the early diagnosis and treatment of the condition.</jats:p>
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1000
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Hinweis
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DeepGreen-ID: a4afdb118af640b29cce8a6741b100a0 ; metadata provieded by: DeepGreen (https://www.oa-deepgreen.de/api/v1/), LIVIVO search scope life sciences (http://z3950.zbmed.de:6210/livivo), Crossref Unified Resource API (https://api.crossref.org/swagger-ui/index.html), to.science.api (https://frl.publisso.de/), ZDB JSON-API (beta) (https://zeitschriftendatenbank.de/api/), lobid - Dateninfrastruktur für Bibliotheken (https://lobid.org/resources/search)
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