A 19-year-old college student presents with progressive tremor, mood changes, and jaundice over 3 months. Vital signs: BP 118/76, HR 88, RR 16, Temp 37°C, SpO2 98%. Slit lamp examination reveals Kayser-Fleischer rings at the corneal periphery. Laboratory studies show serum ceruloplasmin 15 mg/dL (normal 20-40), elevated transaminases, and INR 1.8. He denies prior hepatitis or alcohol use. Which of the following is the most likely diagnosis?

  1. A)Hemochromatosis
  2. B)Gilbert syndrome
  3. C)Primary biliary cholangitis
  4. D)Alpha-1 antitrypsin deficiency
  5. E)Wilson diseaseGABARITO

Explicação

Wilson disease is an autosomal recessive disorder of copper excretion caused by ATP7B mutation leading to copper accumulation in liver, brain, and cornea with Kayser-Fleischer rings. Ver explicação completa e trilha adaptativa →

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