Korean J Endocr Surg.  2004 Dec;4(2):115-118. 10.16956/kjes.2004.4.2.115.

Macromastia with Multiple Fibroadenomas in a Wilson's Disease Patient

Affiliations
  • 1Department of Surgery, Holy Family Hospital, The Catholic University of Korea College of Medicine, Korea. dosangs@hotmail.com

Abstract

Wilson's disease is an autosomal recessive disorder of copper metabolism in individuals with mutant ATP7B genes. Impairment of normal excretion of hepatic copper results in toxic accumulation of the metal in liver, brain and other organs. Clinical manifestations include hepatic, neurologic or psychiatric disturbances. Penicillamine, as a chelator of copper, is the drug of choice in the treatment of Wilson's disease but after treatment of penicillamine, granulocytopenia, thrombocytopenia, the nephrotic syndrome, Goodpasture's syndrome, pemphigus vulgaris or pleural effusion may supervene. We report a case of macromastia with multiple fibroadenomas in a patient who was treated with penicillamine for Wilson's disease.

Keyword

Wilson's disease; Penicillamine; Macromastia

MeSH Terms

Agranulocytosis
Anti-Glomerular Basement Membrane Disease
Brain
Copper
Fibroadenoma*
Hepatolenticular Degeneration*
Humans
Liver
Metabolism
Nephrotic Syndrome
Pemphigus
Penicillamine
Pleural Effusion
Thrombocytopenia
Copper
Penicillamine
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