| Reference | Study design; Population | Serum copper and/or CP | Urinary copper | Hepatic copper | Liver toxicity markers | Neurotoxicity markers |
|---|---|---|---|---|---|---|
| (Brewer, 2000 ) |
WD patients Heterozygotes |
CP‐Cu levels in heterozygotes were intermediate between those of normal individuals (higher) and those homozygote for WD (lower) | Elevated Cu levels in 24‐h urine of siblings of WD patients, presumed heterozygotes | Evidence of higher levels in suspected heterozygotes | ||
| (Gromadzka et al., 2010 ) |
WD heterozygotes (Hzg) (parents of WD patients) (n = 68) Age‐matched controls (n = 31) 24‐h urine collection |
Reduced serum caeruloplasmin in Hzg (p < 0.001) Carriers of H1069Q mutation had higher CP than other Hzg (p = 0.03) No difference in serum copper |
No difference | Not measured |
Reduced ALT (p = 0.014) and AST (p = 0.07) in Hzg No difference in their ratio and on platelets |
No related difference |
| (Ferenci et al., 2007 ) |
WD patients (n = 46) late onset (> 40 years) Hepatic WD: 15 of 46 Neurologic WD: 31 of 46 Asymptomatic: 2 of 46 |
CP < 20 mg/dL in 28 of 31 neurologic patients and in 13 of 15 hepatic patients | > 100 μg/L in all |
> 250 μg/g in 13 of 17 patients who were sampled Levels similar to early onset patients |
Histology evidence in 13 of 15 hepatic patients and in 14 of 31 neurologic patients | In 2 of 5 hepatic patients (and all the neurologic patients) |
| (Ferenci, 2005 ) |
WD patients (n = 114) Hepatic WD (n = 90) Neurologic WD (n = 39) Non‐cholestatic liver disease (NCLD) (n = 219) No evidence of liver disease (n = 26) |
Not measured | All WD patients |
> 250 μg/g in 95 of 114 WD patients (83.3%) > 250 μg/g in 35 of 39 neurologic WD patients > 250 μg/g in 18 of 20 hepatic WD patients (only 20 were measured) > 250 μg/g in 3 of 219 NCLD patients |
Histopathology No correlation of severity of histological findings with copper content |
Clinical diagnosis |
| (Yang et al., 2015 ) |
Patients with various liver disease (n = 3,350) of whom 714 had two passes of liver biopsies and copper measurement, WD patients (n = 178) Hepatic WD (n = 105) Neurological WD (n = 31) Hepatoneurological WD (n = 25) Presymptomatic WD (n = 17) Heterozygote WD (n = 24) |
Not reported | Not reported |
> 250 μg/g in 168 of 178 WD patients > 250 μg/g in 105 of 105 hepatic WD patients > 250 μg/g in 60 of 60 neurologic WD patients > 250 μg/g in 1 of 24 heterozygotes; 4 of 24 had > 150 μg/g and 19 of 24 had > 75 μg/g |
Clinical diagnosis Hepatic copper was higher in hepatic WD than other phenotypes |
Clinical diagnosis |