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Haemolytic anaemia as initial manifestation of wilson's disease

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Summary

Common manifestations of Wilson's disease are disorders of the liver and brain. A rare complication of this inherited disease is acute intravascular haemolytic anaemia. We report the case of a 33-year old female patient who was admitted to the hospital with acute haemolysis as the initial symptom of Wilson's disease. The haemolysis preceded the definitive diagnosis by 20 months. It is concluded that in any case of unclear haemolytic anaemia, especially in adolescents or in young adults, Wilson's disease should be considered.

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References

  1. Buchanan GR (1975) Acute hemolytic anemia as a presenting manifestation of Wilson disease. J Pediatr 86: 245–247

    Google Scholar 

  2. Cartwright GE, Hodges RE, Gubler CJ, Mahoney JP, Daum K, Wintrobe MM, Bean WB (1954) Studies on copper metabolism XIII. Hepatolenticular degeneration. J Clin Invest 33: 1487–1501

    Google Scholar 

  3. Danks DM (1983) Hereditary disorders of copper metabolism in Wilson's disease and Menkes' disease. In: Stanbury JB, Wynegaarden JB, Frederickson DS, Goldstein JL, Brown MS (eds) The metabolic basis of inherited disease. McGraw-Hill, New York, pp 1251–1268

    Google Scholar 

  4. Deiss A, Lee GR, Cartwright GE (1970) Hemolytic anemia in Wilson's disease. Ann Intern Med 73: 413–418

    Google Scholar 

  5. Dobyns WB, Goldstein NP, Gordon H (1979) Clinical spectrum of Wilson's disease (hepatolenticular degeneration). Mayo Clin Proc 54: 35–42

    Google Scholar 

  6. Grüter W (1959) Hämolytische Krisen als Frühmanifestation der Wilson'schen Krankheit. Dtsch Z Nervenheilkd 179: 401–422

    Google Scholar 

  7. Hoagland HC, Goldstein NP (1978) Hematologic (cytopenic) manifestations of Wilson's disease. Mayo Clin Proc 53: 498–500

    Google Scholar 

  8. McIntyre N, Clink HM, Levi AJ, Cumings JN, Sherlock S (1967) Hemolytic anemia in Wilson's disease. N Engl J Med 276: 439–444

    Google Scholar 

  9. Meyer RJ, Zalusky R (1977) The mechanisms of hemolysis in Wilson's disease: study of a case and review of the literature. Mt Sinai J Med (NY) 44: 530–538

    Google Scholar 

  10. Robitaille GA, Piscatelli RL, Majeski EJ, Gelehrter TD (1977) Hemolytic anemia in Wilson's disease. JAMA 237: 2402–2403

    Google Scholar 

  11. Roche-Sicot J, Benhamou JP (1977) Acute intravascular hemolysis and acute liver failure associated as a first manifestation of Wilson's disease. Ann Intern Med 86: 301–303

    Google Scholar 

  12. Walshe JM (1962) Wilson's disease. The presenting symptoms. Arch Dis Child 37: 253–256

    Google Scholar 

  13. Willms KG, Blume KG, Löhr GW (1972) Hämolytische Anämie bei Morbus Wilson (Hepatolentikuläre Degeneration). Klin Wochenschr 50: 995–1002

    Google Scholar 

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Lehr, H., Pauschinger, M., Pittke, E. et al. Haemolytic anaemia as initial manifestation of wilson's disease. Blut 56, 45–46 (1988). https://doi.org/10.1007/BF00321059

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  • DOI: https://doi.org/10.1007/BF00321059

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