A five-year-old child presented with acute liver failure with jaundice
, hemolysis, ascites, encephalopathy and coagulopathy. A diagnosis of
fulminant Wilson's disease was made on the basis of elevated serum and
urinary copper, and the simultaneous diagnosis of Wilson's disease in
an older sibling. Despite supportive therapy, liver function remained
precarious and the patient underwent a successful orthotopic liver tr
ansplant. This is one of the youngest children reported with fulminant
liver failure from Wilson's disease and underlines the need to entert
ain the diagnosis in children presenting with liver failure even at th
is early age.