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Hemolysis is the presenting complaint in 15% of patients.32,33 If a patient presents with the combination of hemolysis and liver failure, the prognosis is poor because of possible associated renal failure secondary to hemoglobinuria.34,35 The hepatic disease of Wilsonβs can present as one of the following four clinical subtypes: acute hepatitis, fulminant hepatic failure, chronic active hepatitis, and cirrhosis.36 However, it is also common to diagnose Wilsonβs disease during investigation of elevated transaminases found on health screening in asymptomatic children
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In those cases, BPC-157 may support surrounding soft tissue in some patients, but it should not be framed as a treatment that reverses the underlying structural problem