Expert Treatment for Wilson's Disease by Dr. Bharat Pothuri
Step 1: Medical and Family History Review
Dr. Pothuri begins by reviewing your personal and family medical history to assess your risk for Wilson's disease.
Step 2: Blood Test for Ceruloplasmin
He may order a blood test to measure ceruloplasmin, a protein that carries copper in the blood. Low levels may suggest Wilson's disease.
Step 3: 24-Hour Urine Copper Test
A 24-hour urine collection checks for elevated copper levels in your body, a key indicator of Wilson's disease.
Step 4: Imaging or Liver Biopsy
If needed, Dr. Pothuri may recommend liver imaging or a biopsy to evaluate copper buildup or liver damage.
Step 5: Genetic Testing
Genetic testing may be used to confirm mutations in the ATP7B gene, which causes Wilson's disease.
Frequently Asked Questions
What causes Wilson's disease?
It is caused by a mutation in the ATP7B gene inherited from both parents, leading to copper buildup in the body.
What symptoms appear in adults?
Adults may experience fatigue, unexplained weight loss, jaundice (yellowing of skin and eyes), abdominal pain or swelling, tremors, speech difficulties, and mood changes.
How is Wilson's disease diagnosed?
Dr. Pothuri uses blood tests for ceruloplasmin, a 24-hour urine copper test, imaging studies, and genetic testing. A liver biopsy may be recommended in some cases.
What treatments are available?
Treatment includes a low-copper diet, chelating agents such as penicillamine or trientine to remove excess copper, and zinc therapy to block copper absorption. Advanced care may involve endoscopy or liver transplant if needed.
Can Wilson's disease damage the liver?
Yes. Without treatment, copper accumulation can cause liver inflammation, scarring (cirrhosis), and eventual liver failure.
Is Wilson's disease hereditary?
Yes. It follows an autosomal recessive inheritance pattern, so a child must inherit the mutated ATP7B gene from both parents to develop the disease.