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Catatonia: an unusual manifestation of Wilson's disease
Aniruddha Basu1, Sivakumar Thanapal, Mamta Sood
1From the Post-Graduate Institute of Medical Sciences, Rohtak, Haryana, India (AB); and All India Institute of Medical Sciences-Psychiatry, New Delhi, Delhi, India (ST, MS, SKK).
Abstract:
Wilson's disease, characterized by abnormal copper accumulation in the human body, may present with psychiatric manifestations in about one-fifth of patients. The authors report a patient with Wilson's disease who initially presented with acute psychosis and later developed catatonic symptoms. The atypical presentation led to a delay in diagnosis and institution of appropriate treatment. Wilson's disease can be ruled out in all young patients presenting with psychiatric symptoms for the first time by screening for a Kayser-Fleischer ring.
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