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Richard M. Lipman, MD; Thomas A. Deutsch, MD
Chicago, Ill

Arch Ophthalmol. 1990;108(10):1385.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The ophthalmologist is often asked to help rule out Wilson's disease in a young patient with liver function abnormalities. We report a case of a patient with corneal findings similar to a Kayser-Fleischer ring but with a highnormal ceruloplasmin level, chronic active hepatitis, and hemolysis.

Report of a Case.

—A 35-year-old black man with a history of intravenous drug and alcohol abuse presented with a 2-month history of pruritus, night sweats, and a 9-kg weight loss. The physical examination was remarkable for jaundice, scleral icterus, and mild hepatomegaly.

Peak laboratory values at admission included a total bilirubin of 964.4 µmol/L (normal, 3.4 to 17.1 µmol/L), with a direct bilirubin of 613.9 µmol/L (normal, 0.0 to 8.6 µmol/L). The serum ceruloplasmin level was 600 µmol/L (normal, 200 to 600 µmol/L). Serologic test results were negative for hepatitis A and B, human immunodeficiency virus, mitochondrial antibody, and heterophil agglutinins. A liver . . . [Full Text PDF of this Article]

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