Generalised oedema, lethargy, personality disturbance, and recurring nightmares in a young girl

A 17 year old girl presented with a six week history of loose, yellow motions, marked leg swelling, increased shortness of breath, lethargy, and decreased exercise tolerance. Liver function tests: albumin 20 g/l, bilirubin 51 [mu]mol/l, alkaline phosphatase 208 IU/l, aspartate aminotransferase 131 I...

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Bibliographic Details
Published in:Postgraduate medical journal 2001-08, Vol.77 (910), p.529-530
Main Authors: Hawkes, N D, Mutimer, D, Thomas, G A O
Format: Article
Language:English
Subjects:
Abdomen
Adolescent
Biopsy
Care and treatment
Ceruloplasmin - analysis
Chelating Agents - therapeutic use
Copper - blood
Diagnosis
Dropsy
Edema
Edema - diagnosis
Edema - etiology
Edema - therapy
Female
Health aspects
Hepatolenticular Degeneration - complications
Hepatolenticular Degeneration - diagnosis
Hepatolenticular Degeneration - therapy
Humans
Liver cirrhosis
Liver diseases
Liver Transplantation
Penicillamine - therapeutic use
Personality Disorders - diagnosis
Personality Disorders - etiology
Personality Disorders - therapy
Self Assessment Questions
Sleep Wake Disorders - diagnosis
Sleep Wake Disorders - etiology
Sleep Wake Disorders - therapy
Teenagers
Urine
Youth
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Summary:A 17 year old girl presented with a six week history of loose, yellow motions, marked leg swelling, increased shortness of breath, lethargy, and decreased exercise tolerance. Liver function tests: albumin 20 g/l, bilirubin 51 [mu]mol/l, alkaline phosphatase 208 IU/l, aspartate aminotransferase 131 IU/l.
ISSN:0032-5473
1469-0756
DOI:10.1136/pmj.77.910.529