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Updated: May 31, 2026

Positron Emission Tomography Using 64-Copper as a Tracer for the Study of Copper-Related Disorders
Published on: April 28, 2023
Excess copper chelating therapy for Wilson disease induces anemia and liver dysfunction
Masaru Harada1, Koichiro Miyagawa, Yuichi Honma
1The Third Department of Internal Medicine, University of Occupational and Environmental Health, Japan School of Medicine, Japan. msrharada@med.uoeh-u.ac.jp
Abstract:
A 37-year-old man was diagnosed with Wilson disease at the age of 14. His first manifestations were neurological. He was treated with trientine for more than 10 years and suffered from anemia and liver dysfunction. Wilson disease is a genetic disorder characterized by accumulation of copper in the body. Excess copper is toxic, but copper is an essential trace element. Copper-binding ceruloplasmin is important for iron metabolism. Excess copper chelating treatment-induced anemia and iron deposition in the liver was suspected. Proper monitoring of copper status is important for the management of Wilson disease.
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