Psychological Presentations Without Hepatic Involvement in Wilson Disease - 10/08/11
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, Kuang-Lin Lin, MD , Huei-Shyong Wang, MD , Mun-Ching Wong, MD † Division of Pediatric Neurology, Department of Pediatrics, Chang Gung University College of Medicine, Taoyuan, Taiwan Communications should be addressed to: Dr. Jainn-Jim Lin; Division of Pediatric Neurology; Chang Gung Children’s Hospital; 5 Fu-Shin Street; Kwei-Shan, Taoyuan, 333; Taiwan.Résumé |
Wilson disease is an autosomal recessive inborn error of copper metabolism that leads to neurologic symptoms and variable degrees of hepatic damage. The most common characteristic signs clinically are liver disease, psychiatric disease, neurologic disease, or a combination of these. Early recognition by means of clinical signs and an early initiation of therapy using chelators or zinc-salts are essential for a good outcome and prognosis. This report describes a male suffering from Wilson disease who exhibited an unusual presentation that included psychological manifestations without hepatic involvement. He was initially treated for attention-deficit hyperactivity disorder and a seizure disorder until brain imaging established the diagnosis of Wilson disease.
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Vol 35 - N° 4
P. 284-286 - octobre 2006 Retour au numéro
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