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A member asked:
Low ceruloplasmin blood test is 15 and range is 20-60. have palatal tremor and eye pain. chances of it being wilson and can treatment reverse tremor?
3 doctors weighed in across 3 answers
Wilson's testing: Palatal tremor is not a typical manifestation of wilson's disease compared to arm tremor affecting proximal muscles. However, with the low ceruloplasmin, follow up testing including liver function tests and 24 hour urine quantitation can be useful. The gold standard continues to be liver biopsy in cases that are uncertain, but this is an invasive test.
Answered 7/6/2015
4.5k views
Finish workup: Consider beginning treatment now while awaiting confirmation from a urine copper and genetic studies.
Answered 8/9/2014
3.8k views
This is serious: Either you have wilson's or your don't. If you do have wilson's, we can manage it with your compliance. Your physcian knows how to do the workup; serum copper is just a not-that-good screen. Don't even try to estimate the odds; just remember how horribly treacherous wilson's is, and how grim missing the diagnosis would be.
Answered 1/24/2014
4.5k views
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