Answer to CC #16

Case challenge #16 presented a 19 yo white male hand tremors, new psychiatric disturbances, slurred speech, drooling, and difficulty walking. Work-up reveals imaging findings suggestive of cirrhosis. The test most likely to help reveal the diagnosis is CERULOPLASMIN for a diagnosis of Wilson’s Disease. 

  

92.5 percent of respondents got the correct answer – looks like we will have to find a tougher case next week! Take a look below for the common diagnostic tests for Wilson’s Disease, as well as the diagnostic criteria: 
  

  
Journal of Hepatology, March 2012, Vol.56(3):671685