Liver Failure of Wilson's Disease With Manifestations Similar to Porphyria and Uncommon ATP7B Gene Mutation: A Case Report and Literature Review
Background: Wilson's disease (WD) is a rare condition; its diagnosis is challenging owing to a wide spectrum of ATP7B genotypes and variable clinical phenotypes, along with environmental factors. Few cases of WD with presentation of skin lesions and acute neurovisceral symptoms have been report...
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Frontiers Media S.A.
2021-07-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2021.702312/full |
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| author | Ju Zou Ju Zou Ying-Hao Wang Ling Wang Ling Wang Ruo-Chan Chen Ruo-Chan Chen |
| author_facet | Ju Zou Ju Zou Ying-Hao Wang Ling Wang Ling Wang Ruo-Chan Chen Ruo-Chan Chen |
| author_sort | Ju Zou |
| collection | DOAJ |
| description | Background: Wilson's disease (WD) is a rare condition; its diagnosis is challenging owing to a wide spectrum of ATP7B 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 ATP7B gene mutation and rare symptoms of photosensitivity, sensation abnormality, and skin eruption occurring in a 19-year-old woman.Case presentation: 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 > 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.Conclusions: We present a case of WD with a novel ATP7B 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. |
| first_indexed | 2024-12-14T22:07:23Z |
| format | Article |
| id | doaj.art-1788de8f73a8478bb669ca86b0956559 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-12-14T22:07:23Z |
| publishDate | 2021-07-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Medicine |
| spelling | doaj.art-1788de8f73a8478bb669ca86b09565592022-12-21T22:45:50ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-07-01810.3389/fmed.2021.702312702312Liver Failure of Wilson's Disease With Manifestations Similar to Porphyria and Uncommon ATP7B Gene Mutation: A Case Report and Literature ReviewJu Zou0Ju Zou1Ying-Hao Wang2Ling Wang3Ling Wang4Ruo-Chan Chen5Ruo-Chan Chen6Department of Infectious Disease, Xiangya Hospital, Central South University, Changsha, ChinaHunan Key Laboratory of Viral Hepatitis, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Ophthalmology, The Second Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Infectious Disease, Xiangya Hospital, Central South University, Changsha, ChinaHunan Key Laboratory of Viral Hepatitis, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Infectious Disease, Xiangya Hospital, Central South University, Changsha, ChinaHunan Key Laboratory of Viral Hepatitis, Xiangya Hospital, Central South University, Changsha, ChinaBackground: Wilson's disease (WD) is a rare condition; its diagnosis is challenging owing to a wide spectrum of ATP7B 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 ATP7B gene mutation and rare symptoms of photosensitivity, sensation abnormality, and skin eruption occurring in a 19-year-old woman.Case presentation: 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 > 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.Conclusions: We present a case of WD with a novel ATP7B 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.https://www.frontiersin.org/articles/10.3389/fmed.2021.702312/fullATP7Bcopper storage diseaseliver failureporphyriaWilson's disease |
| spellingShingle | Ju Zou Ju Zou Ying-Hao Wang Ling Wang Ling Wang Ruo-Chan Chen Ruo-Chan Chen Liver Failure of Wilson's Disease With Manifestations Similar to Porphyria and Uncommon ATP7B Gene Mutation: A Case Report and Literature Review Frontiers in Medicine ATP7B copper storage disease liver failure porphyria Wilson's disease |
| title | Liver Failure of Wilson's Disease With Manifestations Similar to Porphyria and Uncommon ATP7B Gene Mutation: A Case Report and Literature Review |
| title_full | Liver Failure of Wilson's Disease With Manifestations Similar to Porphyria and Uncommon ATP7B Gene Mutation: A Case Report and Literature Review |
| title_fullStr | Liver Failure of Wilson's Disease With Manifestations Similar to Porphyria and Uncommon ATP7B Gene Mutation: A Case Report and Literature Review |
| title_full_unstemmed | Liver Failure of Wilson's Disease With Manifestations Similar to Porphyria and Uncommon ATP7B Gene Mutation: A Case Report and Literature Review |
| title_short | Liver Failure of Wilson's Disease With Manifestations Similar to Porphyria and Uncommon ATP7B Gene Mutation: A Case Report and Literature Review |
| title_sort | liver failure of wilson s disease with manifestations similar to porphyria and uncommon atp7b gene mutation a case report and literature review |
| topic | ATP7B copper storage disease liver failure porphyria Wilson's disease |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2021.702312/full |
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