[A case of Wilson's disease in an elderly patient initially diagnosed with NASH].

• DOI: 10.11405/nisshoshi.112.317
• Publication Date: 2015-02-01
• Authors: Jun Seishima; Yoshio Sakai; Noriaki Kitahara; Kazuya Kitamura; Kuniaki Arai; Takashi Kagaya; Tatsuya Yamashita; Eishiro Mizukoshi; Masao Honda; Shuichi Kaneko
• Keywords: Liver disease; Wilson's disease; Transaminase

A 62-year-old female was admitted to our hospital for examination of icterus and thrombocytopenia. She had a history diabetes mellitus (under treatment), liver cirrhosis evident on abdominal CT. Because she clinically obese no past alcohol consumption, the initial diagnosis NASH. However, subsequent MRI findings normal serum transaminase levels were not consistent with this diagnosis. We then performed additional examinations, including biopsy, measurements Cu ceruloplasmin concentrations, measurement urinary secretion, which resulted in Wilson's disease. It is necessary include disease differential NASH cases unidentified even among elderly patients.