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Case report
Wilson’s disease presentation resembling autoimmune hepatitis
  1. Bruno Campos Santos,
  2. Ludmila Resende Guedes,
  3. Luciana Costa Faria and
  4. Claudia Alves Couto
  1. Department of Clínica Médica, Universidade Federal de Minas Gerais Faculdade de Medicina, Belo Horizonte, Minas Gerais, Brazil
  1. Correspondence to Mr Bruno Campos Santos; bruno_campos{at}


We report a case of a 25-year-old female patient who showed chronic hepatopathy with elevated levels of autoantibodies and gamma globulins, resembling autoimmune hepatitis. After 8 weeks of unsuccessful immunosuppressive treatment, further evaluation showed laboratorial and histological findings suggestive of Wilson’s disease. The new treatment with D-penicillamine resulted in positive outcome, despite the initial misleading diagnosis.

  • hepatitis other
  • liver disease
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  • Contributors BCS reviewed the literature and helped with the description. LRG was the assistant doctor and described the case. LCF helped with reviews and supported the research. CAC was the general practitioner who reviewed and supported the research.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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