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CASE REPORT
Year : 2017  |  Volume : 6  |  Issue : 2  |  Page : 118-120

Anesthetic management of a patient with Wilson's disease: Factors to be considered


1 Department of Anaesthesiology and Critical Care, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
2 Department of Paediatrics, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India

Correspondence Address:
Shahna Ali
Department of Anaesthesiology and Critical Care, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh - 202 002, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijhas.IJHAS_179_16

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Wilson's disease is an autosomal recessive, multisystem disorder particularly involving hepatic and neuropsychiatric systems. The primary pathology in these cases is the reduction in the synthesis of copper transporter protein leading to accumulation of copper in various organs. Excessive deposition in liver leads to chronic liver disease and cirrhosis that may alter the metabolism and excretion of anesthetic agents. Providing anesthesia can be a challenging task in these cases. Hence, a thorough workup for the severity and extent of the disease and optimal planning is essential for the successful management of these cases. We, hereby, describe a case of a 23-year-old male with Wilson's disease posted for bilateral contracture release of the knee.


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