Capital Hospital

Bhubaneswar
751020

Dharani
Dhar
Name : Panda Collected : 21/05/2018 02:24:00PM
Received : 21/05/2018 03:18:02PM
Lab No. : 24 Age: 27Years Gender: Male
A/c Status :P Ref By : Dr. Niranjan Padhi Report Status : Final

Test Name Results Units Bio. Ref. Interval

WILSON DISEASE PANEL

WILSON DISEASE
(Spectrophotometry, Nephelometry, ICPMS)
Ceruloplasmin, Serum 21.30 mg/dL 20.00 - 60.00
Copper, Serum 121.00 µg/dL
Copper, 24 hour urine 45.00 ug/L 2.00 - 80.00
Copper, 24 hour urine 45.00 ug/day 3.00 - 50.00
Total Urine Volume 1000.00 mL/day 800.00 - 1800.00
AST (SGOT) 11 U/L <50
ALT (SGPT) 12 U/L <50
GGTP 20 U/L <55
Alkaline Phosphatase (ALP) 110 U/L 30 - 120
Bilirubin Total 0.40 mg/dL 0.30 - 1.20
Bilirubin Direct 0.20 mg/dL <0.20
Bilirubin Indirect 0.20 mg/dL <1.10
Total Protein 7.00 g/dL 6.40 - 8.30
Albumin 4.00 g/dL 3.50 - 5.20
A : G Ratio 1.33 0.90 - 2.00
--------------------------------------------------------------
| Copper serum |
| -------------------------------------------------------------- |
| REFERENCE GROUP | REFERENCE RANGE IN μg/dL |
| ------------------------- | ------------------------------------ |
| < 6 months | 20-70 |
| ------------------------- | ------------------------------------ |
| 6 months-18 years | 90-190 |
| ------------------------- | ------------------------------------ |
| Adult | |
| Males | 70-140 |
| Females | 80-155 |
--------------------------------------------------------------

Notes:
1. Serum Ceruloplasmin levels may be normal in upto 10% of affected patient & reduced in 20%
of carriers
2. Test conducted in serum & Urine

Comment
Wilson disease is an autosomal recessive disorder caused by mutations in ATP7B gene; a membrane
bound copper transporting ATPase. Defective copper incorporation into apoceruloplasmin leads to excess
PatientReportSCSuperPanel.GENERAL_PANEL_ANALYTE_SC (Version: 6)

Page 1 of 4
 Capital Hospital
Bhubaneswar
751020

Dharani
Dhar
Name : Panda Collected : 21/05/2018 02:24:00PM
Received : 21/05/2018 03:18:02PM
Lab No. : 24 Age: 27Years Gender: Male
A/c Status :P Ref By : Dr. Niranjan Padhi Report Status : Final

Test Name Results Units Bio. Ref. Interval

catabolism & low blood levels of Ceruloplasmin. Serum copper levels are usually lower than normal
because of low Ceruloplasmin. Urinary copper is elevated invariably in symptomatic patients & is an
important diagnostic tool. Patients may present with neurological manifestation, hepatitis (elevated
transaminases with or without Jaundice) or hepatic decompensation (elevated, bilirubin, reduced serum
albumin & coagulation factors, ascites, peripheral edema & hepatic encephalopathy)
Clinical manifestations are caused by copper toxicity & primarily involve the liver & the brain. Because
effective treatment is available, it is important to make the diagnosis early.

PatientReportSCSuperPanel.GENERAL_PANEL_ANALYTE_SC (Version: 6)

Page 2 of 4
 Capital Hospital
Bhubaneswar
751020

Dharani
Dhar
Name : Panda Collected : 21/05/2018 02:26:00PM
Received : 21/05/2018 03:20:02PM
Lab No. : 24 Age: 27Years Gender: Male
A/c Status : P Ref By : Dr. Niranjan Padhi Report Status : Final

Test Name Results Units Bio. Ref. Interval

COMPLETE BLOOD COUNT (CBC)

(Electrical Impedance & VCS,Photometry )

Hemoglobin 11.30 g/dL 13.00 - 17.00

Packed Cell Volume (PCV) 34.80 % 40.00 - 50.00
RBC Count 4.16 mill/mm3 4.50 - 5.50
MCV 83.70 fL 80.00 - 100.00
MCH 27.10 pg 27.00 - 32.00
MCHC 32.40 g/dL 32.00 - 35.00
Red Cell Distribution Width (RDW) 14.80 % 11.50 - 14.50
Total Leukocyte Count (TLC) 7.30 thou/mm3 4.00 - 10.00
Differential Leucocyte Count (DLC)

Segmented Neutrophils 65.40 % 40.00 - 80.00

Lymphocytes 23.60 % 20.00 - 40.00
Monocytes 8.30 % 2.00 - 10.00
Eosinophils 2.00 % 1.00 - 6.00
Basophils 0.70 % <2.00
Absolute Leucocyte Count

Neutrophils 4.77 thou/mm3 2.00 - 7.00

Lymphocytes 1.72 thou/mm3 1.00 - 3.00
Monocytes 0.61 thou/mm3 0.20 - 1.00
Eosinophils 0.15 thou/mm3 0.02 - 0.50
Basophils 0.05 thou/mm3 0.01 - 0.10
Platelet Count 337.0 thou/mm3 150.00 - 450.00
Note
1. As per the recommendation of International council for Standardization in Hematology, the differential
leucocyte counts are additionally being reported as absolute numbers of each cell in per unit volume
of blood

2. Test conducted on EDTA whole blood

Page 3 of 4
 Capital Hospital
Bhubaneswar
751020

Dharani
Dhar
Name : Panda Collected : 21/05/2018 02:26:02PM
Received : 21/05/2018 03:20:52PM
Lab No. : 24 Age: 27Years Gender: Male
A/c Status :P Ref By : Dr. Niranjan Padhi Report Status :

Test Name Results Units Bio. Ref. Interval

Dr. Anil Mishra Dr Biswadip Mallik Dr Himangshu Bhuina Dr. N. kausal

MD (Pathology) MD (Pathology) MD (Biochemistry) MD (Biochemistry)
HOD Hemat & Imm Sr. Consultant Pathologist Consultant Biochemist HOD Biochem & IA

-------------------------------End of report --------------------------------

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