wilson disease 8
ut body. only neds. aur (O75) ing/ doy
5 fyrta Cuts excreted 9% Bile » Fecal Cu
Udine aa
wit ikon ditcase . there & genetic defect that tesult ia the excess
epee bet. Kepe 7 TEA
_Keop O:45 mq + Excess Cu tn the body and deposited
fn vacinus Hesse
(igh ger pode) YOu Hse
- Free copper (Cu)* an Cu". OH + OH ;
Free raditle
:
tfssue domge
ser_(hepato cyte Jyrhelp tn get rid of eicess copper
s= copper from diet absorbed fn the smal itestine Va enterocyte
ond posed aff portal vein to. the liver
min Iner ts sent to | ATP#B. "transport pratia®
@Binds Cu to __“apocestloplasmin” (casey 4S of
copper in blood )
@ Gather Ga tte vesicles for eceeys TY
‘into btle canaliculi? —» Bileom_.. Ga tras porter
Cu Excretion
wes ver
- portal vein
Heparscyte
+ cancaity 6 'mokcules
of copper at once
| Enterocy te
(ofS here fs auakomalitecessive defect in
ATP 3B. transporter ; :
Le se fr can’t bind Cu with Ceriloplasmin or excrer it_fare bile
K,
So. the copper bilad up! fn “hepatscyte and srt produce
Feee radiels.—» i wl dawg paises
causty fr Copper pil cut foto. rnerssvial ppace blood sup
other tissue
Oke
bloodot
Frqwcobaal SyMPIM feos wilson etl « brain tt poo, Cu {Sao
ne dlisease
camplt cation
rr
sid» basal ganglia $ cause! par Ktnsonfem
p cerebral cortex 3 cause! cell death 4 dementia
iid descemets membran of cornea 2
at
Merron berween. stroma. and exdeheial layer of crex
diagnosis 3 (ee Ob.
OS ANAS
Sym proms. 8
sLivecdamge: _[ Acute hepatit _» etalnests nl
neurological. Symptoms,
x.
ead} ceruloplasmin Aoceruleplamin t
uasable dower las ven4 lang in Slouna
free Cat
Otter conplcarion s*enlargedtiver_atalspeen
* Renal disease
Hemolytic anemiaTreatments
BD Acute de-coppecing thempy,
BB rraintaince therapy.
Keep Cu fn normal range
= o¢ aminoacid metabolite of gencilin
= No anti biote prepares. + otis tn SS
wf Terra thiomalypdate
AZinc salts. sais at protinsin__intestinal cell
canboid to Cul)
} pind with Free copper fn
Sbload and tissue
excretion
inucine
mepllorbionein
teres
treaieal cets Op excreted in feces
Biver vansplant