{"id":1049,"date":"2017-10-27T16:46:42","date_gmt":"2017-10-27T16:46:42","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/?post_type=chapter&#038;p=1049"},"modified":"2017-11-14T17:54:42","modified_gmt":"2017-11-14T17:54:42","slug":"12-92-copper-deficiency-toxicity","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/chapter\/12-92-copper-deficiency-toxicity\/","title":{"raw":"12.92 Copper Deficiency &amp; Toxicity","rendered":"12.92 Copper Deficiency &amp; Toxicity"},"content":{"raw":"<div class=\"__UNKNOWN__\">\r\n\r\nCopper deficiency is rare in humans, but results in the following symptoms<sup>1,2<\/sup>:\r\n\r\nHypochromic anemia\r\n\r\nDecreased white blood cell counts leading to decreased immune function\r\n\r\nBone abnormalities\r\n\r\nCopper deficiency can result in a secondary iron deficiency, since Fe2+ cannot be oxidized to Fe3+ to bind to transferrin. This can cause the hypochromic anemia that occurs in iron deficiency.\r\n\r\nMenke's disease is a genetic disorder that results in copper deficiency. It is believed that individuals with this disease have a mutation in ATP7A that prevents copper from leaving the enterocyte, thus preventing absorption<sup>1<\/sup>.\r\n\r\nCopper toxicity is also rare in humans, but acute toxicity results in the following symptoms<sup>1,2<\/sup>:\r\n\r\nNausea, vomiting, diarrhea, abdominal pain\r\n\r\nChronic symptoms include<sup>1,2<\/sup>:\r\n\r\nBrain, liver, and kidney damage\r\n\r\nNeurological damage\r\n\r\nWilson's disease is a genetic disorder where a mutation in ATP7B prevents copper excretion, resulting in copper toxicity. One notable symptom is that individuals with this disease have golden to greenish-brown Kayser-Fleischer rings around the edges of the cornea, as shown in the link below<sup>1,2<\/sup>.\r\n<table><colgroup> <col \/><\/colgroup>\r\n<tbody>\r\n<tr>\r\n<td><h3>Web Link<\/h3>\r\n\r\n<a href=\"http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMicm1101534#t=article\"><u>Kayser-Fleischer ring<\/u><\/a><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>References &amp; Links<\/h3>\r\n\r\n1. Gropper SS, Smith JL, Groff JL. (2008) Advanced nutrition and human metabolism. Belmont, CA: Wadsworth Publishing.\r\n\r\n2. Byrd-Bredbenner C, Moe G, Beshgetoor D, Berning J. (2009) Wardlaw's perspectives in nutrition. New York, NY: McGraw-Hill.\r\n\r\n<h3>Link<\/h3>\r\n\r\nKayser-Fleischer ring - http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMicm1101534#t=article\r\n\r\n<\/div>","rendered":"<div class=\"__UNKNOWN__\">\n<p>Copper deficiency is rare in humans, but results in the following symptoms<sup>1,2<\/sup>:<\/p>\n<p>Hypochromic anemia<\/p>\n<p>Decreased white blood cell counts leading to decreased immune function<\/p>\n<p>Bone abnormalities<\/p>\n<p>Copper deficiency can result in a secondary iron deficiency, since Fe2+ cannot be oxidized to Fe3+ to bind to transferrin. This can cause the hypochromic anemia that occurs in iron deficiency.<\/p>\n<p>Menke&#8217;s disease is a genetic disorder that results in copper deficiency. It is believed that individuals with this disease have a mutation in ATP7A that prevents copper from leaving the enterocyte, thus preventing absorption<sup>1<\/sup>.<\/p>\n<p>Copper toxicity is also rare in humans, but acute toxicity results in the following symptoms<sup>1,2<\/sup>:<\/p>\n<p>Nausea, vomiting, diarrhea, abdominal pain<\/p>\n<p>Chronic symptoms include<sup>1,2<\/sup>:<\/p>\n<p>Brain, liver, and kidney damage<\/p>\n<p>Neurological damage<\/p>\n<p>Wilson&#8217;s disease is a genetic disorder where a mutation in ATP7B prevents copper excretion, resulting in copper toxicity. One notable symptom is that individuals with this disease have golden to greenish-brown Kayser-Fleischer rings around the edges of the cornea, as shown in the link below<sup>1,2<\/sup>.<\/p>\n<table>\n<colgroup>\n<col \/><\/colgroup>\n<tbody>\n<tr>\n<td>\n<h3>Web Link<\/h3>\n<p><a href=\"http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMicm1101534#t=article\"><u>Kayser-Fleischer ring<\/u><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>References &amp; Links<\/h3>\n<p>1. Gropper SS, Smith JL, Groff JL. (2008) Advanced nutrition and human metabolism. Belmont, CA: Wadsworth Publishing.<\/p>\n<p>2. Byrd-Bredbenner C, Moe G, Beshgetoor D, Berning J. (2009) Wardlaw&#8217;s perspectives in nutrition. New York, NY: McGraw-Hill.<\/p>\n<h3>Link<\/h3>\n<p>Kayser-Fleischer ring &#8211; http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMicm1101534#t=article<\/p>\n<\/div>\n\n\t\t\t <section class=\"citations-section\" role=\"contentinfo\">\n\t\t\t <h3>Candela Citations<\/h3>\n\t\t\t\t\t <div>\n\t\t\t\t\t\t <div id=\"citation-list-1049\">\n\t\t\t\t\t\t\t <div class=\"licensing\"><div class=\"license-attribution-dropdown-subheading\">CC licensed content, Shared previously<\/div><ul class=\"citation-list\"><li>Kansas State University Human Nutrition Flexbook. <strong>Authored by<\/strong>: Brian Lindshield. <strong>Provided by<\/strong>: Kansas State University. <strong>Located at<\/strong>: <a target=\"_blank\" href=\"http:\/\/goo.gl\/vOAnR\">http:\/\/goo.gl\/vOAnR<\/a>. <strong>License<\/strong>: <em><a target=\"_blank\" rel=\"license\" href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\">CC BY: Attribution<\/a><\/em><\/li><\/ul><\/div>\n\t\t\t\t\t\t <\/div>\n\t\t\t\t\t <\/div>\n\t\t\t <\/section>","protected":false},"author":311,"menu_order":36,"template":"","meta":{"_candela_citation":"[{\"type\":\"cc\",\"description\":\"Kansas State University Human Nutrition Flexbook\",\"author\":\"Brian Lindshield\",\"organization\":\"Kansas State University\",\"url\":\"goo.gl\/vOAnR\",\"project\":\"\",\"license\":\"cc-by\",\"license_terms\":\"\"}]","CANDELA_OUTCOMES_GUID":"","pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-1049","chapter","type-chapter","status-publish","hentry"],"part":883,"_links":{"self":[{"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/pressbooks\/v2\/chapters\/1049","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/wp\/v2\/users\/311"}],"version-history":[{"count":3,"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/pressbooks\/v2\/chapters\/1049\/revisions"}],"predecessor-version":[{"id":1855,"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/pressbooks\/v2\/chapters\/1049\/revisions\/1855"}],"part":[{"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/pressbooks\/v2\/parts\/883"}],"metadata":[{"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/pressbooks\/v2\/chapters\/1049\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/wp\/v2\/media?parent=1049"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/pressbooks\/v2\/chapter-type?post=1049"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/wp\/v2\/contributor?post=1049"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-nutrition\/wp-json\/wp\/v2\/license?post=1049"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}