Effect of treatment on renal function in severe osteomalacia due to Wilson's disease
AUTOR(ES)
Monro, Pauline
RESUMO
A patient with Wilson's disease presented at the age of 41 with a neurological defect and gross osteomalacia secondary to a defect of renal tubular reabsorption. He also showed the unusual features of a renal stone in the presence of the Fanconi syndrome and a relatively low alkaline phosphatase level, possibly due to the additional inherited defect of hypophosphatasia. During four years of treatment with penicillamine and calciferol clinical improvement was spectacular. Details of amino-acid clearances before and after treatment are given, and the results suggest that, as in the brain and the liver, the function of the distal renal tubules may be restored in Wilson's disease when copper is removed.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=476816Documentos Relacionados
- EFFECT OF ESTROGENS ON COPPER METABOLISM IN WILSON'S DISEASE*
- Effect of D-penicillamine treatment on brain metabolism in Wilson's disease: a case study.
- OBSERVATIONS ON CERULOPLASMIN IN WILSON'S DISEASE*†
- Penicillamine treatment of Wilson's disease and optic neuropathy.
- INVESTIGATION OF THE AMINOACIDURIA IN WILSON'S DISEASE (HEPATOLENTICULAR DEGENERATION): DEMONSTRATION OF A DEFECT IN RENAL FUNCTION 1
