Patient's question:
After medication, it dropped to around 150. Does this prove it's Wilson's disease?Doctor's answer:
From the given examination, it can basically be diagnosed as Wilson's disease.Suggestions:
1. In the early stages of Wilson's disease, cranial MRI may be normal, and the patient may also not have Kayser-Fleischer rings.
2. This type of patient is often only discovered to have the disease when they visit the hospital for clinical symptoms.
3. This is an autosomal recessive genetic disease, with the majority of cases being inherited in the same-generation or across-generation siblings. The heterozygote you mentioned is considered a dominant gene in medicine. If that's the case, then from a medical perspective, heterozygote carriers will not develop Wilson's disease.
4. Serum copper, ceruloplasmin, and urinary copper are important diagnostic markers for this disease. Therefore, based on the data you provided, it can basically be diagnosed as this condition.
5. The primary medication for treating this disease is penicillamine. I don't know if it's available on the market, as the last patient I managed couldn't obtain this medication. However, licorice zinc capsules and dimercaptosuccinic acid capsules can also help in the treatment and are safe to use.
6. In daily diet, it is advisable to minimize the consumption of high-copper foods, such as chocolate, peas, fava beans, corn, shellfish, squid, shrimp, and animal livers.