Progressive familial intrahepatic cholestasis 3 Camouflaging as Wilson disease in a 12-year-old: a diagnostic Odyssey.

Q3 Medicine
Kalpana Panda, Subhasis Pradhan, Mrutunjay Dash, Girish Kumar Pati
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引用次数: 0

Abstract

Primary Familial Intrahepatic Cholestasis type 3 is an exceedingly rare genetic cholestatic disorder characterized by the defective hepatocanaliculr bile acid transport leading to progressive liver disease. In this case report, we describe the course of treatment for a 12-year-old kid diagnosed with Wilson disease based on Leipzig score and copper investigations. The child did not improve with chelation therapy and was subsequently genetically classified as PFIC-3. This case highlighted the caveats in Wilson disease diagnostic scoring system. The diagnostic odyssey, therapeutic interventions, and outcome of this case underscore the intricate interplay between clinical suspicion, investigative strategies, and the pivotal role of genetic testing to elucidate rare liver disorders in children.

在一名 12 岁儿童身上伪装成威尔逊病的进行性家族性肝内胆汁淤积症 3:诊断奥德赛。
原发性家族性肝内胆汁淤积症 3 型是一种极为罕见的遗传性胆汁淤积症,其特点是肝胆管胆汁酸转运缺陷导致进行性肝病。在本病例报告中,我们描述了一名根据莱比锡评分和铜检查确诊为威尔逊病的 12 岁儿童的治疗过程。该患儿在接受螯合疗法后病情未见好转,随后在遗传学上被归类为 PFIC-3。这个病例凸显了威尔逊氏病诊断评分系统的缺陷。该病例的诊断过程、治疗干预和结果都凸显了临床怀疑、检查策略和基因检测在阐明儿童罕见肝脏疾病方面的关键作用之间错综复杂的相互作用。
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来源期刊
CiteScore
2.30
自引率
0.00%
发文量
29
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