Diagnosticul fenotipic și genotipic al bolii Wilson: caz clinic
Keywords:
Wilson’s disease, phenotype, genotype, compound heterozygousAbstract
Boala Wilson reprezinta o maladie genetica rară determinata de o mutația genei ATP7B, ce duce la reducerea excreției biliare a cuprului și depozitarea lui în diferite țesuturi. Deși, este o tulburare monogenică, boala se caracterizează printr-o diversitate clinică și genetică extraordinară. Articolul dat relatează despre un tânar diagnosticat cu boala Wilson. Bolnavul a fost evaluat conform protocoalelor internaționale: clinic, hematologic, biochimic, oftalmologic, imagistic, endoscopic și genetic. Astfel, conform rezultatelor tuturor investigațiilor s-a stabilit un scor Leipzig ≥ 4 puncte, ce este valabil pentru un diagnostic cert de boală Wilson. Particularitățile acestui caz clinic sunt debutul precoce a bolii cu manifestări primare de boală hepatică avansată, întârzierea stabilirii diagnosticului, statutul de heterozigot compus, complianța redusă a pacientului și refuzul de a accepta prezența unei boli genetice de către familie.
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