Recurrent Hemolytic Anemia as an Inaugural Manifestation of Wilson Disease in Children: A Case Report

Ouidad Louachama*, Aicha Bourrahouat, Ibtissam Khattou, Imane Ait Sab, Mohamed Sbihi
Pediatric Department B, Mother and Child Hospital, Mohamed VI Marrakesh University hospital, Marrakesh, Morocco

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© 2019 Louachama et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: ( This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Pediatric Department B, Mother and Child Hospital, Mohamed VI Marrakesh university hospital, Morocco;


Wilson disease (WD) is a disorder of copper metabolism. Liver and brain disorders are the main presentations, hemolytic anemia in WD is a rare inaugural symptom. We report a case of a child who developed recurrent hemolytic anemia associated with liver failure in the second hemolysis episode as the first manifestation of WD.

Wilson's disease is not exceptional in children with hemolytic anemia, but another differential diagnosis must be excluded.

Keywords: Wilson disease, Hemolytic anemia, Liver failure, Abdominal examination, Abdominal ultrasound, Chronic hepatitis.