Abstract
A longitudinal study was carried out for evaluating the effect of D-penicillamine in the treatment of 85 biopsy proven cases of Indian childhood cirrhosis. The drug significantly (P< 0.002) reduced the serum and hepatic copper content and simultaneously there was improvement in clinical and symptomatic aspects. This therapy was compared with the conventional corticosteroid therapy. The D-penicillamine therapy was found to be superior (P< 0.002).
Similar content being viewed by others
References
Tanner MS, Portman B, Mowat AP, Williams R: Indian childhood cirrhosis presenting in Britain with orcein-positive deposits in liver and kidney.Br Med J 2:928, 1978
Popper H, Godfischer S, Sternleib I, Nayak NC, Madhavan TV: Cytophasmic copper and its toxic effects: Studies in Indian childhood cirrhosis.Lancet i:1205, 1979
Bhandari B, Mehta R, Sharda B: Hepatic and serum copper in Indian childhood cirrhosis.Indian Pediatr 18: 661, 1981
Tanner MS, Portman B. Mowat AP, Williams R, Pandit AN, Mills CF, Bremner I: Increased hepatic copper concentration in Indian childhood cirrhosis.Lancer i: 1203, 1979
Bremner I: Absorption, transport and distribution of copper. InBiological roles of copper, Ciba Foundation Sympsosium 79, Excerpta Medica, Amsterdam 1980
Nayak NC Research needs in liver diseases in India.Indian J Pediatr 47: 525, 1980
Chandra RK; Indian childhood cirrhosis: A critique of recent observations.Indian J Pediatr 47: 471, 1980
Tanner MS: Copper and Indian childhood cirrhosis.Indian J Pediatr 47: 467, 1980
The Liver disease sub-committee; Indian childhood cirrhosis.Indian J Med Res 43: 723, 1955
Analytic Methods for Atomic Absorption Spectophotometery. Rev. Sep. 1976. Connecticut, Parkin-Elmer Nerwalk.
Sherlok Sheila (Ed.):Disease of the Liver and biliary system. Blackwell Scientific Publication, Oxford and Edinburgh, 1975, p. 10
Raju VS: Indian childhood cirrhosis;Nelson. Textbook of pediatrics (XI ed) W.B. Saunders Co Philedelphia, USA, 1979, p. 1125
Holtzapple PG: Wilson disease (Hepatolanticular cteyenerat ons).Nelson textbook o) pediatrics, (XI ed) W.B. Saunders Company, Philadelphia USA, 1979 p. 1129
Deng HS, Somasundaram S: Copper levels in India childhood cirrhosis.Lancet ii: 246, 1979
Smallwood RA, Williams HA, Rosenoer VM, Sherlock S: Liver copper levels in liver disease. Studies using nutron activation analysis.Lancet ii: 1310, 1968
Evans GW, Johnson PE : Copper and zinc binding ligands in the intestinal mucosa, In:Trace element metabolism in man and animals, Kirschgessner M (ed): Arbeitskres Fur Tierernahrungsforschung, Freising-Weilhenstephan, 3: 98, 1978
Davies NT, Campbell JK: The effect of cadmium on intestinal copper absorption and binding in rat.Life Sci 20: 958, 1977
Hall AC, Young BW, Bremner I: Intestinal metallothionein and mutual antagonist between copper and zinc in rat.J Inorg Biochem 11: 57, 1979
Bremner I: Factors influencing the occurrence of copper-thioneins in tissue. In:Metallothionein, Kagi JHR, Nordberg Birkhauser, Basel, 1979, p 273
Kalra V, Harkiss GD, Lachmann PJ, Ghai OP: Circulating immune complexes in Indian childhood cirrhosis.Clin Exp Immun 50: 1, 1982
Kalra V, Gai OP, Shapcott D: Biochemical profile of copper in patients and siblings of Indian childhood cirrhosis.Indian Pediatr 19: 901, 1982
Walshe JM: Wilson’s disease, a review. In: Peisach J et al (eds).The biochemistry of copper. Academic Press, New York, 1966, p. 475
Sarkar B: Miscoordination in a metal dependent disease: Wilson disease. In:An introduction to bioinorganic chemistry, Williams DR (ed) Thomas, Springfield USA, 1976, p. 318
Multicentre trial group: Controlled trial of D-penicillamine in severe rheumatoid arthritis.Lancet i : 275,1973
Younes M, Weser U: Speroxide dismutase activity of copper-penicillamine: possible involvement of Cu(l) establized sulphut radical,Biochem Biophys Res Commun 78: 1247, 1977
Obserberg R : Therapeutic use of copper chelating agents, Ciba Foundation Symposium 79, Excerpta Medica Amsterdam, 1980
Crampton RF, Metthews DM, Poisner R: Observation on the mechanism of absorption of copper by the small intestine.J Physlol (Lond) 178: 111. 1965
Osterberg R, Ligaarden R, Persson D: Copper (I) complexes of penicillamine and glutathione.J Inorg Biochem 10: 341, 1979
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Tomar, B.S., Saxena, S., Prakash, P. et al. D-penicillamine in the treatment of Indian childhood cirrhosis—a preliminary report. Indian J Pediat 50, 613–618 (1983). https://doi.org/10.1007/BF02957727
Issue Date:
DOI: https://doi.org/10.1007/BF02957727