Movement Disorders (revue)

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Cause of Death in Wilson Disease

Identifieur interne : 001866 ( PascalFrancis/Curation ); précédent : 001865; suivant : 001867

Cause of Death in Wilson Disease

Auteurs : John M. Walshe [Royaume-Uni]

Source :

RBID : Pascal:08-0071408

Descripteurs français

English descriptors

Abstract

Before 1948, all patients with Wilson disease died shortly after diagnosis. In 1948, BAL (dimercaprol) was introduced as a possible effective treatment, to be followed by penicillamine (1955), zinc salts (1961), trientine (1969), liver transplantation (1982), and tetrathiomolybdate (1984). Despite this wide range of therapeutic options, patients still die. This article examines the cause of death in 67 patients (33 men, 34 women) out of a series of 300 seen between 1948 and 2000. Patients were classified according to their presentation as neurological, 32 patients, hepatic 11, mixed hepatic/neurological 10, hemolytic, 6, and "sibling biopsy " 8. Diagnostic failure was the principal cause of death but there were multiple other causes of which the principal was poor compliance and the development of malignant disease after 10 years of follow-up. The development of new symptoms should alert the physician to the possibility of a new pathology.
pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 22
A06       @2 15
A08 01  1  ENG  @1 Cause of Death in Wilson Disease
A11 01  1    @1 WALSHE (John M.)
A14 01      @1 Department of Neurology, The Middlesex Hospital, Mortimer Street @2 London @3 GBR @Z 1 aut.
A20       @1 2216-2220
A21       @1 2007
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000162671070120
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 13 ref.
A47 01  1    @0 08-0071408
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 Before 1948, all patients with Wilson disease died shortly after diagnosis. In 1948, BAL (dimercaprol) was introduced as a possible effective treatment, to be followed by penicillamine (1955), zinc salts (1961), trientine (1969), liver transplantation (1982), and tetrathiomolybdate (1984). Despite this wide range of therapeutic options, patients still die. This article examines the cause of death in 67 patients (33 men, 34 women) out of a series of 300 seen between 1948 and 2000. Patients were classified according to their presentation as neurological, 32 patients, hepatic 11, mixed hepatic/neurological 10, hemolytic, 6, and "sibling biopsy " 8. Diagnostic failure was the principal cause of death but there were multiple other causes of which the principal was poor compliance and the development of malignant disease after 10 years of follow-up. The development of new symptoms should alert the physician to the possibility of a new pathology.
C02 01  X    @0 002B17
C02 02  X    @0 002B17G
C02 03  X    @0 002B17A03
C03 01  X  FRE  @0 Pathologie du système nerveux @5 01
C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Maladie de Wilson @5 02
C03 02  X  ENG  @0 Wilson disease @5 02
C03 02  X  SPA  @0 Wilson enfermedad @5 02
C03 03  X  FRE  @0 Tumeur maligne @2 NM @5 03
C03 03  X  ENG  @0 Malignant tumor @2 NM @5 03
C03 03  X  SPA  @0 Tumor maligno @2 NM @5 03
C03 04  X  FRE  @0 Cuivre @2 NC @5 09
C03 04  X  ENG  @0 Copper @2 NC @5 09
C03 04  X  SPA  @0 Cobre @2 NC @5 09
C03 05  X  FRE  @0 Diagnostic @5 10
C03 05  X  ENG  @0 Diagnosis @5 10
C03 05  X  SPA  @0 Diagnóstico @5 10
C03 06  X  FRE  @0 Malignité @5 11
C03 06  X  ENG  @0 Malignancy @5 11
C03 06  X  SPA  @0 Malignidad @5 11
C07 01  X  FRE  @0 Cancer @2 NM
C07 01  X  ENG  @0 Cancer @2 NM
C07 01  X  SPA  @0 Cáncer @2 NM
C07 02  X  FRE  @0 Pathologie de l'appareil digestif @5 37
C07 02  X  ENG  @0 Digestive diseases @5 37
C07 02  X  SPA  @0 Aparato digestivo patología @5 37
C07 03  X  FRE  @0 Enzymopathie @5 38
C07 03  X  ENG  @0 Enzymopathy @5 38
C07 03  X  SPA  @0 Enzimopatía @5 38
C07 04  X  FRE  @0 Maladie héréditaire @5 39
C07 04  X  ENG  @0 Genetic disease @5 39
C07 04  X  SPA  @0 Enfermedad hereditaria @5 39
C07 05  X  FRE  @0 Maladie métabolique @5 40
C07 05  X  ENG  @0 Metabolic diseases @5 40
C07 05  X  SPA  @0 Metabolismo patología @5 40
N21       @1 035
N44 01      @1 OTO
N82       @1 OTO

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Pascal:08-0071408

Le document en format XML

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