Volume 26, Issue 121, March 2022

Wilson’s disease manifesting as Hepatopulmonary syndrome- A rare case report

Sagar VVSS^1♦, Samarth Shukla², Sourya Acharya³, Sunil Kumar⁴, Chitturi Venkata Sai Akhil⁵

¹Resident, Department of General Medicine, Jawaharlal Nehru Medical College & Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha, Maharashtra, India
²Professor, Department of Pathology, Jawaharlal Nehru Medical College & Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha, Maharashtra, India
³Professor and Head, Department of General Medicine, Jawaharlal Nehru Medical College & Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha, Maharashtra, India
⁴Professor, Department of General Medicine, Jawaharlal Nehru Medical College & Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha, Maharashtra, India
⁵Resident, Department of Pediatrics, Jawaharlal Nehru Medical College & Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha, Maharashtra, India

^♦Corresponding author
Resident, Department of General Medicine, Jawaharlal Nehru Medical College & Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha, Maharashtra, India

ABSTRACT

Wilson’s disease presents with a wide clinical spectrum, most common being hepatic involvement and neuro-psychiatric features. Hepatopulmonary syndrome (HPS) is one of the rare complications of liver failure presenting as breathlessness, platypnea, orthodeoxia and central cyanosis. Wilson’s disease rarely presents initially with central cyanosis and clubbing. A case of 16 year old female who presented dyspnoea, platypnea, clubbing and cyanosis focuses on rare presentation of Wilson’s disease as hepatopulmonary syndrome.

Keywords: copper, cyanosis, clubbing, platypnoea

Medical Science, 2022, 26, ms78e1956

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DOI: https://doi.org/10.54905/disssi/v26i121/ms78e1956

Published: 24 February 2022