Case Report on Acupuncture Treating Wilson Disease

F. Liang
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Abstract

Wilson disease (WD), an autosomal recessive disease with abnormal copper metabolism, is caused by mutations in the ATP7B gene. It is characterized by liver, nervous system, and ocular manifestations related to the deposition of copper in the liver, lens nucleus, and cornea. The case reported in this article was a 30-year-old woman with high muscle tension, unable to stand or walk, low voice, and short-term memory loss. Brain MRI showed patchy T1, long T2 signals, and high FLAIR showed signals in the basal ganglia thalamus area, subcortex, and brain stem. Low signal shadows were presented in magnetically sensitive bilateral basal ganglia region, callus, and cerebellar dentate nucleus. Ceruloplasmin was significantly reduced. With conventional treatment by western medicine, the symptoms were not alleviated. However, after the application of acupuncture-assisted treatment, the patient is capable with self-care ability, thus a desired effect was achieved. It is therefore suggested that acupuncture shall be applied to assist treatment of WD to relieve symptoms and help patients return to the society.
针灸治疗肝豆状核变性1例报告
威尔逊病(WD)是一种铜代谢异常的常染色体隐性遗传病,由ATP7B基因突变引起。其特点是肝脏、神经系统和眼部表现与铜在肝脏、晶状体核和角膜的沉积有关。本文报道的病例是一名30岁的女性,她肌肉高度紧张,无法站立或行走,声音低沉,并有短期记忆丧失。脑MRI表现为片状T1、长T2信号,基底节丘脑区、皮层下、脑干高FLAIR信号。磁敏感的双侧基底节区、胼胝体和小脑齿状核呈现低信号影。铜蓝蛋白明显降低。经西医常规治疗,症状未见缓解。而采用针灸辅助治疗后,患者具有自理能力,达到了预期的效果。因此建议采用针灸辅助治疗WD,缓解症状,帮助患者回归社会。
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