Hepatolenticular degeneration with hidden pathology of liver: Case report


如何引用文章

全文:

详细

A case of hepatolenticular degeneration (HLD) in a 27-year-old patient is reported. The earliest signs of the disease were observed as isolated psychoneurological symptoms (mainly as polymorphic extrapyramidal and cerebellar disorders). Neither clinical, nor laboratory, nor sonographic signs of liver pathology were detected. Liver pathology was revealed only during special examination by elastography. The diagnosis was verified by molecular genetic testing (detecting mutations in the АТР7В gene). Challenges of timely recognizing HLD and the modern potential of diagnosing the disease using the laboratory and instrumental techniques are discussed.

作者简介

Nadezhda Vyalova

Far-Eastern State Medical University, Ministry of Health of the Russian Federation

Email: proskokova2011@yandex.ru
俄罗斯联邦, Khabarovsk

Denis Doloka

Far-Eastern State Medical University, Ministry of Health of the Russian Federation

Email: proskokova2011@yandex.ru
俄罗斯联邦, Khabarovsk

Tatyana Proskokova

Far-Eastern State Medical University, Ministry of Health of the Russian Federation

编辑信件的主要联系方式.
Email: proskokova2011@yandex.ru
俄罗斯联邦, Khabarovsk

Aleksandr Khelimskiy

Far-Eastern State Medical University, Ministry of Health of the Russian Federation

Email: proskokova2011@yandex.ru
俄罗斯联邦, Khabarovsk

参考

  1. Vyalova N.V., Proskokova T.N., Khelimskiy A.M. [Hepatolenticular degeneration: clinic, diagnostics, and treatment]. Dal'nevostochnyy meditsinskiy zhurnal. 2012; 4: 130-134. (in Russ.).
  2. Konovalov N.V. Gepatotserebral'naya distrofiya. [Hepatocerebral dystrophy]. Moscow: Meditsina. 1960. 555p. (in Russ.).
  3. Lekar' P.G., Makarova V. A. Gepatotserebral'naya distrofiya. [Hepatocerebral dystrophy]. Moscow. Меditsina; 1984. 206 p. (in Russ.).
  4. Magzhanova Yu. R. Geno-fenotipicheskie korrelyatsii pri bolezni Vil'sona v respublike Bash-kortostan. Diss. kand. med. nauk [Geno-phenotype correlation in Wilson’s disease in the re-public of Bashkortostan: PhD diss. (Med.)]. Ufa. 2007: 176p. (in Russ.).
  5. Churkina I.G., Damulin I.V., Artem'ev D.V. [Hepatocerebral degeneration]. Klinicheskie perspektivy gastroenterologii, gepatologii 2006; 4: 3-8. (in Russ.).
  6. Gupta A., Aikath D., Neogi R. Molecular pathogenesis of Wilson disease: haplotype analysis, detection of prevalent mutations and genotype-phenotype correlation in Indian patients. Hum. Genet. 2005; 118: 49-57.
  7. Asanov A.Yu., Sokolov A.A., Volgina S.Ya. et al. [State Clinical Recommendations on Di-agnostics and Treatment of Wilson-Konovalov Disease (Hepatolenticular Degeneration)]. Moscow. 2013. 71p. (in Russ.)
  8. Kitzberger R., Madi C., Ferenci P. Wilson’s disease. Metab. Brain Dis. 2005; 20: 295-302. doi: 10.1007/s11011-005-7910-8. PMID: 16382340.
  9. Walshe J.M., Yealland M. Wilson's disease: the problem of delayed diagnosis. J. Neurol. Neurosurg. Psych. 1992; 55: 692. PMID: 1527540.
  10. Vyalova N.V., Proskokova T.N., Khelimskiy A.M. [Mental disorders under hepatolenticular degeneration]. Dal'nevostochnyy meditsinskiy zhurnal. 2013; 4: 88-91. (in Russ.).
  11. Iwata M. MRI diagnosis of neurodegenerative disorders. RinshoShinkeigaru. 2005; 45: 947-951. PMID: 16447770.
  12. Mochizuki H., Kamakura K., Masaki T. Atypical MRI features of Wilson’s disease: high sig-nal in globuspallidus on T1-weighted images. J. Neurol. 1997; 39: 171-174. PMID: 9106287.
  13. Mdici V., Mirante V.G., Fassati L.R. Liver transplantation for Wilson’s disease: The burden of neurological and psychiatric disorders. Liver Transpl. 2005; 11: 1056-1063.
  14. Tao T.Y., Gitlin J.D. Hepatic copper metabolism: insights from genetic disease. Hepatology 2003; 37: 1241-1247. doi: 10.1053/ihep.2003.50281. PMID: 12773998.

版权所有 © Vyalova N.V., Doloka D.S., Proskokova T.N., Khelimskiy A.M., 2017

Creative Commons License
此作品已接受知识共享署名 4.0国际许可协议的许可
##common.cookie##