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| • |
Hepatic
presentation:
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– |
Most
patients including asymptomatic
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demonstrate
some degree of hepatic damage.
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Anorexia,
vague abdominal pain, lethargy and
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epistaxis
are non specific symptoms.
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Most
common presentation is that of chronic liver
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disease
with signs of liver cell failure and portal
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hypertension
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Some
patients present as acute hepatitis causing
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initial
diagnostic confusion with infective hepatitis
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– |
Hepatic
insufficiency may develop rapidly and
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result
in signs of fulminant hepatic failure
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| • |
Gallstones
have been associated with WD in children
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