One case of Wilson's disease with first manifestation of liver failure and literature review
Wilson's disease(WD),also known as hepatomegaly,is an autosomal recessive genetic disease.It develops mostly in children and adolescents,with various clinical manifestations and lack of specificity.Lack of awareness of the disease among primary care physicians leads to high rates of missed diagnosis and misdiagnosis.It is rare to see patients with acute liver failure as the first manifestation of the disease.In this paper,we report a case of Wilson's disease diagnosed as slow-onset acute hepatic failure due to fever at Binzhou Medical University Hospital,who had adverse reactions during the maintenance treatment with penicillamine,and review the relevant literatures to improve clinicians'understanding of Wilson's disease and diagnosis and treatment levels.