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Wilson disease (hepatolenticular degeneration)


Wilson Disease (Hepatolenticular Degeneration)

General: Lesion in the putamen and lenticular 939f58j nucleus; familial; occurs in first decade of life; reduced liver function; increase in copper content in tissue.

Ocular: Night blindness; golden, grayish-green, or ruby-red peripheral posterior corneal stromal deposit (Kayser-Fleischer ring); sunflower cataract (same as with retention of copper foreign body); nystagmus; extraocular muscle palsies.

Clinical: Liver cirrhosis; jaundice (early); difficulties in speaking (early); difficulties in swallowing and mastication; extensive muscular rigidity; mouth usually open with salivation ('fixed grin'); coarse tremor.

Johnson BL. Ultrastructure of the Kayser-Fleischer ring. Am J Ophthalmol 1973; 776:455.

Tso MOM, et al. Kayser-Fleischer ring and associated cataract in Wilson's disease. Am J Ophthalmol 1975; 79:479.

Walshe JM. The eye in Wilson's disease. Birth Defects 1976; 12:187.

Wilson SAK. Progressive lenticular degeneration: a familial nervous disease associated with cirrhosis of the liver. Brain 1912; 34:295.




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