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Psychosis and Wilson's disease: a case report
Ivana Jukić1, Marina Titlić, Ante Tonkić
1Department of Internal medicine, Clinical Hospital Split, Croatia. ivjukic@yahoo.com
Psychiatria Danubina
|June 29, 2006
Summary
This case highlights Wilson's disease presenting as acute psychosis and involuntary movements. Early diagnosis and interdisciplinary care are vital for managing this neurological disorder.
Area of Science:
- Neurology
- Psychiatry
- Genetics
Background:
- Wilson's disease is a rare genetic disorder of copper metabolism.
- It can present with diverse neurological and psychiatric symptoms.
- Delayed diagnosis impacts patient prognosis significantly.
Observation:
- A 26-year-old woman experienced acute psychosis as the primary symptom of Wilson's disease.
- She developed choreoathetoid limb movements after starting neuroleptic medication.
- Neurological symptoms were initially misattributed to medication side effects.
Findings:
- Diagnostic workup confirmed Wilson's disease as the underlying cause.
- Both psychiatric symptoms and involuntary movements improved with treatment.
- Treatment involved neuroleptic and chelating agents.
Implications:
- This case underscores the importance of considering Wilson's disease in patients with unexplained psychosis and movement disorders.
- It emphasizes the critical need for collaboration between psychiatrists and neurologists for timely diagnosis.
- Prompt diagnosis and treatment are essential for favorable outcomes in Wilson's disease.
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