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Penicillamine is generally used first-line to treat symptomatic patients in the UK

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These reports are clinically important because aspiration is uncommon but potentially serious, and anesthesia suppresses protective airway reflexes

Valadas JS, Batalha VL, Ferreira DG, Gomes R, Coelho JE, Sebastiao AM et al (2012) Neuroprotection afforded by adenosine A2A receptor blockade is modulated by corticotrophin-releasing factor (CRF) in glutamate injured cortical neurons