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Articolul urmator |
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Ultima descărcare din IBN: 2023-10-23 17:39 |
SM ISO690:2012 CUMPĂTĂ, Veronica, SAKARA, Viktoria K., ŢURCANU, Adela. Wilson's disease: clinical evolution of Moldovan patients . In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 121. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Background. Wilson's disease (WD) is an autosomal recessive genetic disorder associated with a high mortality and disability rate. Early diagnosis and therapy can result in a good prognosis of WD. Objective of the study. To analyze the clinical and laboratory evolutions of WD and the effects of the standard treatments in Moldovan patients with WD. Material and Methods. 15 patients (6 females and 9 males) with WD were evaluated retrospectively between 2018 and 2021, with a follow-up of 14 months (5 – 23 months). The clinical and laboratory features were recorded at the end of the study. Results. The median age at diagnosis was 22 years (2 – 36 years). Four patients were asymptomatic, four had only neurological manifestation, three had hepatomegaly associated with neurological disorders, three - liver disease and one patient presented with a Kayser-Fleischer ring. Fibrosis analysis (by Fibroscan) revealed that: 6 patients - F2, 2 - F4, 2 - steatosis, 1 - F0. The treatment consisted of D-penicillamine associated with pyridoxine for all patients. At the end of the study, all treated hepatic patients were asymptomatic. Conclusion. The study suggests that Wilson's disease must be ruled out in children older than two years presenting with abnormal levels of hepatic enzymes because of the heterogeneity of symptoms and the encouraging treatment results obtained so far. |
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Cuvinte-cheie Wilson disease, Moldovan patients, oalaWilson, pacienţi, asimptomatici |
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