<prompt> Wilson disease, all are true except ___HepatomegalyKF ringRaised copper levelRaised ceruloplasmin level  <response>: Low levels of ceruloplasmin are characteristic.This is probably secondary to hepatic damage. As most of the copper in serum is bound to ceruloplasmin, total serum copper level is reduced.The serum ceruloplasmin level is less than 20mgdl and serum copper concentration is below 20 microgramsdl. Ref: Page 618; Ghai essential pediatrics; 6th edition. 