Open Access
CC BY 4.0 · Journal of Child Science 2021; 11(01): e145-e147
DOI: 10.1055/s-0041-1731079
Case Report

Wilson Disease-Induced Acute Liver Failure (NWI = 13) Salvaged without Liver Transplant by Plasmapheresis

Autor*innen

  • Nida Mirza

    1   Department of Paediatrics, Sri Aurobindo Institute of Medical Science, Indore, Madhya Pradesh, India
  • Ravi Bharadwaj

    2   Department of Paediatric Gastroenterology, Indraprastha Apollo Hospital, New Delhi, India
  • Smita Malhotra

    2   Department of Paediatric Gastroenterology, Indraprastha Apollo Hospital, New Delhi, India
  • Anupam Sibal

    2   Department of Paediatric Gastroenterology, Indraprastha Apollo Hospital, New Delhi, India

Abstract

Wilson disease (WD) is a disorder of copper metabolism resulting in accumulation of copper in vital organs of the human body, predominantly in the liver and the brain. Acute liver failure in WD has a bad prognosis, especially with a score ≥11 in the revised WD prognostic index; emergency liver transplantation is considered the only life-saving option in this scenario. Here, we reported a girl patient with WD-induced liver failure and poor prognostic score who was rescued by plasmapheresis. She also manifested severe Coombs negative hemolytic anemia and acute kidney injury. This case report highlights the utility of an adjunctive modality besides liver transplantation for the management of fulminant liver failure caused by WD.



Publikationsverlauf

Eingereicht: 25. März 2021

Angenommen: 24. April 2021

Artikel online veröffentlicht:
22. Juni 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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