A CASE REPORT ON COMPLICATIONS OF WILSON’S DISEASE

Abstract

Wilson disease is a hereditary condition marked by an excess of copper buildup in the body, which can cause a variety of clinical symptoms. It is a major contributor to young people's chronic liver disease (CLD), which can manifest as anything from neurological and behavioral disorders to hepatic dysfunction. An important consequence of chronic liver disease (CLD) is portal hypertension, which is caused by an accumulation of copper in the liver. Wilson disease patients frequently have hypothyroidism at diagnosis, which can make managing the condition more difficult. A 40 years old male patient was brought to casualty with chief complaints of hematemesis in the form of clots massive 500 ml since 1 day 3 episodes, loose stools since 1 day 6 episodes, melena, generalized weakness; Patient he is a known case of chronic liver disease, portal hypertension splenomegaly since past 8 years, not on medication. Patient is not addictive to alcohol or smoking. On examination the patient was afebrile and conscious coherent with Pallor ++. On laboratory examination CBP reveals Decreases Hb, Platelet Count, Total WBC, Serum albumin and Serum Ceruloplasmin confirming the diagnosis as chronic liver disease with portal hypertension; decompensated cirrhosis of liver disease; severe anemia; secondary to Wilson’s disease. The Patient was treated Inj .octreotide, Tab. Udiliv, Inj Human Albumin, Tab Zinc, Tab. Rifaximine, Tab Thyroxine Sodium. The patient was recovering UGI bleed and hematological report shown improvement in blood levels, anemia is resolving and patient was discharged.