<prompt> All of the following changes in liver are seen in Wilsons disease, EXCEPTCirrhosisFatty liverAcute hepatitisFulminant hepatitis  <response>: B Fatty liver Hepatic Wilsons disease may present as hepatitis, cirrhosis, or as hepatic decompensation, typically in the mid- to late-teenage years in western countries, although the age of presentation is quite broad and extends into the fourth decade of life. In India and countries in the Far East, the hepatic presentation may occur much earlier, often in children only five or six years of age. An episode of hepatitis may occur, with elevated blood transaminase enzymes, with or without jaundice, and then spontaneously regress. Hepatitis often reoccurs, and most of these patients eventually develop cirrhosis. Hepatic decompensation is associated with elevated serum bilirubin, reduced serum albumin and coagulation factors, ascites, peripheral edema, and hepatic encephalopathy. In severe hepatic failure, hemolytic anemia may occur because large amounts of copper are released into the bloodstream The association of hemolysis and liver disease makes Wilson disease a likely diagnosis. 