dear all
you would have seen many children with hepatitis. we would have seen fewer number of wilson disease than hepatitis
it is prudent to screen older children for wilson.
Wilson disease should be considered in children and teenagers with unexplained acute or chronic liver disease, neurologic symptoms of unknown cause, acute hemolysis, psychiatric illnesses, behavioral changes, Fanconi syndrome, or unexplained bone (osteoporosis, fractures) or muscle disease (myopathy, arthralgia). The clinical suspicion is confirmed by study of indices of copper metabolism.
wilson easl guidelines
Superintendent, ICH.