J Gastroenterol Hepatol Endosc | Volume 6, Issue 2 | Case Report | Open Access

Wilson's Disease and Cystic Fibrosis. An Infrequently Recognized Association

Daniela Andrea Sturla Álvarez1, Julio Alberto Vázquez Gómez1*, Carolina Muñoz Codoceo2, Yurami Sánchez Santacruz3, Andrés Urquía Reinke4, José Ramón Villa Asensi4and Rosa Ana Muñoz Codoceo1

1Gastroenterology and Nutrition Section, Hospital Infantil Universitario Niño Jesús, Spain
2Digestive System Service, Hospital 12 de Octubre, Spain
3Department of Pathological Anatomy, Hospital Central de la Defensa Gómez Ulla, Spain
4Department of Pulmonology Section, Hospital Central de la Defensa Gómez Ulla, Spain

*Correspondance to: Julio Alberto Vázquez Gómez 

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Abstract

"Cystic  Fibrosis-Related  Liver  Disease"  (CFLD)  has  a  prevalence  of  30%  to  50%  and  is  another consequence of CFTR dysfunction. Its spectrum can vary from an elevation of transaminases to cirrhosis with portal hypertension, constituting the second cause of death in these patients after pulmonary disease.

We  present  the  case  of  two  twin  brothers  diagnosed  with  CFLD  with  a  torpid  evolution  of  this complication. After searching for other liver diseases, they were diagnosed with Wilson's disease.

Although CFLD is a relatively common entity, it does not exclude that other concomitant processes may  be  associated.  Wilson's  disease  is  an  autosomal  recessive  pathology  in  which  there  is  an alteration  of  copper  metabolism,  depositing  in  the  liver  and  frequently  associating  hepatic  and neurological alterations.

In the literature, there is only one case like those described in this study, highlighting the importance of expanding the differential diagnosis when hepatic impairment is observed in CF patients.

 

Keywords:

Cystic fibrosis-related liver disease; Wilson&39;s disease; Hepatic impairment; Hepatic steatosis

Citation:

Álvarez DAS, Gómez JAV, Codoceo CM, Santacruz YS, Reinke AU, Asensi JRV, et al. Wilson's Disease and Cystic Fibrosis. An Infrequently Recognized Association. J Gastroenterol Hepatol Endosc. 2021; 6(2): 1094..

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