21st July 2023

You see a patient on the acute medical take who reports he is feeling generally unwell.

You see a patient on the acute medical take who reports he is feeling generally unwell. You note on examination that he is short in stature with bowed legs.
Remarkable blood tests show K 2.4 (3.5-5.3), Phos 0.3 (0.8-1.5), and Cl of 125 (96-106).
A urine dip shows protein+, glucose+.
He also has peripheral oedema and ascites, with yellow sclera.
He reports that he has a diagnosis of Fanconi Syndrome and Wilson’s Disease.

Given the blood results and history, what type of renal disease can be seen in Wilson’s disease?

Select the SINGLE most appropriate option from the list below. Select ONE option only.