Wilson’s disease: monitoring and prognosis

Evidence-based neurology checklist on wilson’s disease: monitoring and prognosis: Twice annual monitoring indices Serum copper and ceruloplasmin Liver biochemistry Full blood count Urinalysis Physical examination Annual 24-hour urinary excretion Indicators of over-treatment Indicators of treatment…

Twice annual monitoring indices

  • Serum copper and ceruloplasmin
  • Liver biochemistry
  • Full blood count
  • Urinalysis
  • Physical examination

Annual 24-hour urinary excretion

Indicators of over-treatment

Indicators of treatment non-adherence

Clinical rating scales

Poor prognostic factors

References

  1. Roberts EA, Schilsky ML. Diagnosis and treatment of Wilson disease: an update. Hepatology 2008; 47:2089-2111.
  2. Bandmann O, Weiss KH, Kaler SG. Wilson’s disease and other neurological copper disorders. Lancet Neurol 2015; 14:103-113.
  3. Volpert HM, Pfeiffenberger J, Gröner JB, et al. Comparative assessment of clinical rating scales in Wilson's disease. BMC Neurol 2017; 17:140. 
  4. Lorincz MT. Neurologic Wilson’s disease. Ann N Y Acad Sci 2010; 1184:173-187.

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