•Clinical evaluation, liver
function tests, 24 hour urinary copper,
KF rings must be monitored six monthly initially and yearly thereafter.
•Scholastic and vocational
rehabilitation is required for neurological handicaps along with
considerations for social problem of costly treatment.
•Liver transplant is indicated
in patients with WD with fulminant hepatic failure and/or disease that is
worsening despite chelation therapy. Prognostic criteria has been set for patients
presenting with fulminant hepatitis.
•Sibling evaluation is
mandatory for occult WD or carrier status of WD gene.