DR. ANDRESEN is an adjunct assistant professor in the department of pediatrics, University of Nebraska Medical Center, Omaha, and clinical assistant professor in the department of pediatrics, Creighton University Medical Center, Omaha.
A 14-year-old male with trisomy 21 presents with elevated liver enzymes, tachypnea, shortness of breath and increasing abdominal distention. The diagnosis was Wilson's Disease.