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Medicine General 0a259aa2

The gold standard for the diagnosis of Wilson disease is:

A
Liver biopsy with quantitative copper assay
B
Serum ceruloplasmin along with free copper estimation
C
24 hour urine copper quantification
D
Liver biopsy and copper staining
High-Yield Explanation
The gold standard for diagnosis is liver biopsy with quantitative copper assays. Affected patients have values > 200 mg/g dry weight of liver tissue. Copper stains are not reliable. Reference: Harrisons Principles of Internal Medicine, 18th Edition, Page 3188

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