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Karissa Clark, Pete Goodale, and Anne Shively




     Samuel Alexander Kinnier Wilson
               (1878–1937)
 An inherited disorder in which the body’s
  tissues have too much copper.
 The excess copper damages the liver and
  nervous system.
 Copper accumulates in the liver, brain,
  kidneys, and eyes.
 Copper damage causes to death of tissues

 and scarring, which leads to organ failure.
 Named for its discoverer, Samuel Alexander
 Kinnier Wilson (1878–1937)
 Wilson’s disease is a rare, inherited disorder. If both
   parents carry an abnormal gene, there is a 25% chance of
   an affected pregnancy.
 The gene involved is ATP7B.
 Occurs in all groups of people, but most common in
   Europeans, Sicilians, and southern Unaffected
                                        Carrier
                                                       Unaffected
                                                        Carrier
                                        Father          Mother
 Italians.
 Appears in people under 40.
 Symptoms begin to show by age 4.



                                         Unaffected Unaffected Unaffected   Affected
                                           25%       Carrier    Carrier       25%
                                                       25%        25%
 Abnormal posture of limbs

 Mobility issues

 Confusion and delirium

 Emotional or behavioral changes

 Enlargement of the abdomen

 Speech impairment

 Vomiting blood

 Jaundice
 Slit lamp eye examination
   Limited eye movement
   Rusty or brown rings around iris
• Physical
  – Loss of coordination, muscle control
  – Liver or spleen disorders
• Lab tests
  – Serum copper, serum uric acid,
  urine copper
 Life long treatment is needed to control Wilson’s
  disease.
 If not treated early, Wilson’s disease is fatal.
 Goal is to reduce copper in the body
 Chelation
   A life-long procedure where certain medications
    bind to copper and help move it through the
    body.
   Examples include Penicillamine, Trientine, and
    Zinc acetate
• A liver transplant may be considered if
severely damaged.
1.   Name two locations in the body that copper
     accumulates.

2. True or false: Wilson’s disease is genetic.

3.   List three symptoms of the disease.

4. True or false: Wilson’s disease is not fatal.

5. What is one way to test for Wilson’s?
 PubMed Health
    http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH000178
    9/
   Mayo Clinic http://www.mayoclinic.com/health/wilsons-
    disease/DS00411
   NINDS
    http://www.ninds.nih.gov/disorders/wilsons/wilsons.htm
   UM Medical Center
    http://www.umm.edu/ency/article/000785.htm
   Wilson Disease Association
    http://www.wilsonsdisease.org/

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Wilsons disease

  • 1. Karissa Clark, Pete Goodale, and Anne Shively Samuel Alexander Kinnier Wilson (1878–1937)
  • 2.  An inherited disorder in which the body’s tissues have too much copper.  The excess copper damages the liver and nervous system.  Copper accumulates in the liver, brain, kidneys, and eyes.  Copper damage causes to death of tissues and scarring, which leads to organ failure.  Named for its discoverer, Samuel Alexander Kinnier Wilson (1878–1937)
  • 3.  Wilson’s disease is a rare, inherited disorder. If both parents carry an abnormal gene, there is a 25% chance of an affected pregnancy.  The gene involved is ATP7B.  Occurs in all groups of people, but most common in Europeans, Sicilians, and southern Unaffected Carrier Unaffected Carrier Father Mother Italians.  Appears in people under 40.  Symptoms begin to show by age 4. Unaffected Unaffected Unaffected Affected 25% Carrier Carrier 25% 25% 25%
  • 4.  Abnormal posture of limbs  Mobility issues  Confusion and delirium  Emotional or behavioral changes  Enlargement of the abdomen  Speech impairment  Vomiting blood  Jaundice
  • 5.  Slit lamp eye examination  Limited eye movement  Rusty or brown rings around iris • Physical – Loss of coordination, muscle control – Liver or spleen disorders • Lab tests – Serum copper, serum uric acid, urine copper
  • 6.  Life long treatment is needed to control Wilson’s disease.  If not treated early, Wilson’s disease is fatal.
  • 7.  Goal is to reduce copper in the body  Chelation  A life-long procedure where certain medications bind to copper and help move it through the body.  Examples include Penicillamine, Trientine, and Zinc acetate • A liver transplant may be considered if severely damaged.
  • 8. 1. Name two locations in the body that copper accumulates. 2. True or false: Wilson’s disease is genetic. 3. List three symptoms of the disease. 4. True or false: Wilson’s disease is not fatal. 5. What is one way to test for Wilson’s?
  • 9.  PubMed Health http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH000178 9/  Mayo Clinic http://www.mayoclinic.com/health/wilsons- disease/DS00411  NINDS http://www.ninds.nih.gov/disorders/wilsons/wilsons.htm  UM Medical Center http://www.umm.edu/ency/article/000785.htm  Wilson Disease Association http://www.wilsonsdisease.org/