Measurements of liver copper content are considered the gold standard for diagnosis of Wilson disease. New evidence shows that a reduction of the diagnostic threshold indicative for Wilson disease potentially improves diagnostic accuracy.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Roberts, E. A. & Schilsky, M. L. Diagnosis and treatment of Wilson disease: an update. Hepatology 47, 2089–2111 (2008).
Scheinberg, I. & Sternlieb, I. Wilson's Disease 17–24 (Saunders, 1984).
European Association for the Study of Liver Disease. EASL Clinical Practice guidelines: Wilson's disease. J. Hepatol. 56, 671–685 (2012).
Ferenci, P. et al. Diagnostic value of quantitative hepatic copper determination in patients with Wilson's Disease. Clin. Gastroenterol. Hepatol. 3, 811–818 (2005).
Yang, X. et al. Prospective evaluation of the diagnostic accuracy of hepatic copper content, As determined using the entire core of a liver biopsy sample. Hepatology http://dx.doi.org/10.1002/hep.27932.
Merle, U., Schaefer, M., Ferenci, P. & Stremmel, W. Clinical presentation, diagnosis and long-term outcome of Wilson's disease: a cohort study. Gut 56, 115–120 (2007).
Stremmel, W. et al. Wilson disease: clinical presentation, treatment, and survival. Ann. Intern. Med. 115, 720–726 (1991).
Dziezyc, K., Karlinski, M., Litwin T. & Czlonkowska, A. Compliant treatment with anti-copper agents prevents clinically overt Wilson's disease in pre-symptomatic patients. Eur. J. Neurol. 21, 332–337 (2014).
Weiss, K. H. et al. Zinc monotherapy is not as effective as chelating agents in treatment of Wilson disease. Gastroenterology 140, 1189–1198 (2011).
Weiss, K. H. et al. Efficacy and safety of oral chelators in treatment of patients with Wilson disease. Clin. Gastroenterol. Hepatol. 11, 1028–1035 (2013).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Rights and permissions
About this article
Cite this article
Stremmel, W., Merle, U. A new copper cut-off value for diagnosis of Wilson disease?. Nat Rev Gastroenterol Hepatol 12, 493–494 (2015). https://doi.org/10.1038/nrgastro.2015.132
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrgastro.2015.132