Wilson disease can present as
(D) All of the above # Hepatic decompensation is associated with elevated serum bilirubin, reduced serum albumin and coagulation factors, ascit-js, peripheral edema, and hepatic encephalopathy.> In severe hepatic failure, hemolytic anemia may occur because large amounts of copper are released into the bloodstream.> The association of hemolysis and liver disease makes Wilson disease a likely diagnosis.> The three main neurologic problems are of a movement disorder type: dystonia, incoordination, and tremor.> Dysarthria and dysphagia are common.> Some female patients have repeated spontaneous abortions, and most become amenorrheic prior to diagnosis. Cholelithiasis and nephrolithiasis occur with increased frequencies.# Fulminant Hepatitis: When hepatic insufficiency progress from onset of symptoms to hepatic encephalopathy within 2 or 3 weeks, it is termed fulminant hepatic failure.> A less rapid course, extending up to 3 months, is called subfulminant failure.> Much rarer causes, but just as life-threatening, are ischemic hepatic necrosis, obstruction of the hepatic veins, massive malignant infiltration of the liver, Wilson disease, hyperthermia (heat stroke), and microvesicular steatosis syndromes, particularly acute fatty liver of pregnancy
Dystonia
Fulminant hepatitis
Repeated spontaneous abortion
All of the above
Miscellaneous