• Internal medicine · Jan 2024

    Case Reports

    Late-onset Wilson Disease in a Patient Followed-up for Nonalcoholic Fatty Liver Disease.

    • Takeharu Asano, Shuhei Yoshikawa, Keita Matsumoto, Hitomi Kashima, Yudai Koito, Takaya Miura, Yuko Takahashi, Rumiko Tsuboi, Takehiro Ishii, Haruka Otake, Takeshi Uehara, Masanari Sekine, Satohiro Matsumoto, Shinichi Asabe, Hiroyuki Miyatani, and Hirosato Mashima.
    • Department of Gastroenterology, Saitama Medical Center, Jichi Medical University, Japan.
    • Intern. Med. 2024 Jan 1; 63 (1): 717571-75.

    AbstractA 73-year-old woman was referred to our hospital for persistent liver dysfunction. When the patient was 45 years old, her youngest sister had been diagnosed with Wilson disease (WD). The patient therefore underwent several family screening tests, all of which were unremarkable. She had an annual medical checkup and was diagnosed with liver dysfunction and fatty liver at 68 years old. A liver biopsy and genetic testing were performed, and she was diagnosed with WD; chelation therapy was then initiated. In patients with hepatic disorders and a family history of WD, multiple medical examinations should be conducted, as the development of WD is possible regardless of age.

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