Wilson's disease masquerading as rheumatoid arthritis

被引:1
作者
Kumar, Rahul [1 ]
Anandh, K. [2 ]
Goel, Sonal [2 ]
机构
[1] Udayan Hosp, Dept Med, Patna 800023, Bihar, India
[2] Lady Hardinge Med Coll & Hosp, Dept Med, New Delhi 110001, India
关键词
Wilson's disease; Polyarthritis; Rheumatoid arthritis; RA factor;
D O I
10.1016/j.injms.2015.02.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Wilson's disease is a defect of biliary copper excretion due to mutation in ATP7B gene. Copper accumulation occurs primarily in liver and later in brain causing oxidative damage leading to various hepatic and neuropsychiatric manifestations. Atypical presentations of Wilson's disease include cardiomyopathies, endocrinopathies (hypoparathyroidism), Fanconi syndrome and renal failure. Musculoskeletal presentations are very rare. We present a case of Wilson's disease that had a long prodrome of polyarthritis mimicking rheumatoid arthritis, without any concomitant hepatic or neuro-psychiatric manifestations. Copyright (C) 2015, Indian Journal of Medical Specialities. Published by Reed Elsevier India Pvt. Ltd. All rights reserved.
引用
收藏
页码:33 / 35
页数:3
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