KMID : 0191119980130050548
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Journal of Korean Medical Science 1998 Volume.13 No. 5 p.548 ~ p.550
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Acute hemolytic crisis with fulminant hepatic failure as the first manifestation of Wilson¢¥s disease: a case report
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Lee JJ
Kim HJ/Chung IJ/Kook H/Byun JR/Kwon SY/Park MR/Choi KS/Hwang TJ/Ryang DW
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Abstract
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We report a 27-year-old woman who developed Coombs' negative hemolytic anemia and fulminant hepatic failure as the initial manifestation of Wilson's disease. Unmeasurably low level of serum alkaline phosphatase provided a clue to the diagnosis of Wilson's disease. The diagnosis was established with the presence of Kayser-Fleischer ring, decreased serum ceruloplasmin level, and elevated urine and serum copper levels. In spite of repeated plasmapheresis, she died of multiorgan failure on the fifth hospital day.
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KEYWORD
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