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Medicine General 1709b199

In a patient with wilson disease related compensated cirrhosis, without evidence of neurologic or psychiatric symptoms the best treatment option is:

A
Trientine
B
Zinc
C
Tetrathiomolybdate
D
d-penicillamine
High-Yield Explanation
For patients with hepatitis or cirrhosis, but without evidence of hepatic decompensation or neurologic/psychiatric symptoms, zinc is the treatment of choice. Zinc has proven efficacy in Wilson's disease and is nontoxic. Reference: Harrisons Principles of Internal Medicine, 18th Edition, Page 3189

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