Yıl: 2019 Cilt: 10 Sayı: 1 Sayfa Aralığı: 18 - 25 Metin Dili: İngilizce DOI: 10.18663/tjcl.493563 İndeks Tarihi: 27-05-2021

Wilson’s disease in children: Analysis of 41 cases

Öz:
Aim: This study aimed to present clinical and laboratory features of 41 children with Wilson's disease.Material and Methods: The medical records of all of the patients who had got a diagnosis of Wilson's disease between 2001 June and 2005 March in Ankara Dr. Sami Ulus Training& Research Hospital, Turkey. Demographic, clinical and biochemical information was obtained from the patients' records. Findings were retrospectively analyzed by the SPSS Windows 16.0 (SPSS Inc. IL, USA) statistical software.Results: A total of 41 patients had got the diagnosis of Wilson's disease: 24 boys and 17 girls, between in the range of 3-14 years old. The mean age of patients was 9.05±2.84 years. Kayser-Fleischer rings were observed in 24 patients. Urinary copper excretion in 24-hours urine was high in 39 of 40 patients. Serum ceruloplasmin levels were found low in 35 of 40 patients. Thirteen of patients were diagnosed after the family screening. Pathologic brain MR findings were detected in 4 of 8 patients without neurological system complaints or physical examination findings. Conclusion: Especially in societies that consanguineous marriages are so common, Wilson's disease should be considered in differential diagnosis of chronic liver diseases, prolonged hypertransaminasemia, and degenerative brain disorders of unknown origin. In our study, it has been shown that Wilson's disease diagnosis and follow-up preserved the value of classical diagnostic methods and it has been shown that neuroimaging may be useful for early detection of neurological involvement even if neurological findings do not occur.
Anahtar Kelime:

Çocuklarda Wilson hastalığı: 41 olgunun analizi

Öz:
Amaç: Bu çalışmada Wilson hastalığı olan 41 çocuğun klinik ve laboratuvar özelliklerinin sunulması amaçlanmıştır. Gereç ve Yöntemler: Ankara Dr. Sami Ulus Eğitim ve Araştırma Hastanesi’nde 2001 Haziran - 2005 Mart tarihleri arasındaWilson hastalığı tanısı konulan tüm hastaların tıbbi kayıtları geriye dönük olarak incelendi. Hastaların kayıtlarından demografik,klinik ve biyokimyasal bilgiler alındı. Bulgular SPSS Windows 16.0 (SPSS Inc. IL, USA) istatistik yazılımı ile analiz edildi. Bulgular: Toplam 41 hasta Wilson hastalığı tanısı almıştı: 3-14 yaş aralığında 24 erkek ve 17 kız idi. Hastaların yaş ortalaması9.05 ± 2.84 yıldı. 24 hastada Kayser-Fleischer halkaları gözlendi. 24 saatlik idrarda idrar bakır atılımı 40 hastanın 39'undayüksekti. Serum seruloplazmin düzeyleri 40 hastanın 35'inde düşük bulundu. Hastaların on üçü aile taramasından sonra tanıaldı. Nörolojik sistem şikayeti veya fizik muayene bulguları olmayan 8 hastanın 4'ünde patolojik beyin MR bulguları saptandı. Sonuç: Özellikle akraba evliliklerinin çok yaygın olduğu toplumlarda, kronik karaciğer hastalıklarının ayırıcı tanısında,uzamış hipertransamineminin ve nedeni bilinmeyen dejeneratif beyin bozukluklarının ayırıcı tanısında Wilson hastalığıda düşünülmelidir. Bizim çalışmamızda Wilson hastalığı tanısı ve izleminin klasik tanı yöntemlerinin değerini koruduğu ve nörolojik bulgularortaya çıkmasa bile nörolojik tutulumun erken saptanmasında nörogörüntülemenin yararlı olabileceği gösterilmiştir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA TURSUN S, GÜLERMAN H (2019). Wilson’s disease in children: Analysis of 41 cases. , 18 - 25. 10.18663/tjcl.493563
Chicago TURSUN SERKAN,GÜLERMAN HACER FULYA Wilson’s disease in children: Analysis of 41 cases. (2019): 18 - 25. 10.18663/tjcl.493563
MLA TURSUN SERKAN,GÜLERMAN HACER FULYA Wilson’s disease in children: Analysis of 41 cases. , 2019, ss.18 - 25. 10.18663/tjcl.493563
AMA TURSUN S,GÜLERMAN H Wilson’s disease in children: Analysis of 41 cases. . 2019; 18 - 25. 10.18663/tjcl.493563
Vancouver TURSUN S,GÜLERMAN H Wilson’s disease in children: Analysis of 41 cases. . 2019; 18 - 25. 10.18663/tjcl.493563
IEEE TURSUN S,GÜLERMAN H "Wilson’s disease in children: Analysis of 41 cases." , ss.18 - 25, 2019. 10.18663/tjcl.493563
ISNAD TURSUN, SERKAN - GÜLERMAN, HACER FULYA. "Wilson’s disease in children: Analysis of 41 cases". (2019), 18-25. https://doi.org/10.18663/tjcl.493563
APA TURSUN S, GÜLERMAN H (2019). Wilson’s disease in children: Analysis of 41 cases. Turkish Journal of Clinics and Laboratory, 10(1), 18 - 25. 10.18663/tjcl.493563
Chicago TURSUN SERKAN,GÜLERMAN HACER FULYA Wilson’s disease in children: Analysis of 41 cases. Turkish Journal of Clinics and Laboratory 10, no.1 (2019): 18 - 25. 10.18663/tjcl.493563
MLA TURSUN SERKAN,GÜLERMAN HACER FULYA Wilson’s disease in children: Analysis of 41 cases. Turkish Journal of Clinics and Laboratory, vol.10, no.1, 2019, ss.18 - 25. 10.18663/tjcl.493563
AMA TURSUN S,GÜLERMAN H Wilson’s disease in children: Analysis of 41 cases. Turkish Journal of Clinics and Laboratory. 2019; 10(1): 18 - 25. 10.18663/tjcl.493563
Vancouver TURSUN S,GÜLERMAN H Wilson’s disease in children: Analysis of 41 cases. Turkish Journal of Clinics and Laboratory. 2019; 10(1): 18 - 25. 10.18663/tjcl.493563
IEEE TURSUN S,GÜLERMAN H "Wilson’s disease in children: Analysis of 41 cases." Turkish Journal of Clinics and Laboratory, 10, ss.18 - 25, 2019. 10.18663/tjcl.493563
ISNAD TURSUN, SERKAN - GÜLERMAN, HACER FULYA. "Wilson’s disease in children: Analysis of 41 cases". Turkish Journal of Clinics and Laboratory 10/1 (2019), 18-25. https://doi.org/10.18663/tjcl.493563