Wilson disease and psychiatric symptoms: A brief case report

• 作者: Carmen Maura Carrillo de Albornoz Calahorro Luis Gutierrez Rojas Margarita Guerrero-Jimenez
• 来源期刊: 综合精神医学(英文)
• 学科: 医学
• 关键词: WILSON disease PSYCHIATRIC SYMPTOMS A BRIEF case REPORT
• 年，卷（期）: zhjsyxyw_2019,（3）
• 页码范围: 155-158
• 页数: 4页
• 分类号: R

摘要

Wilson disease (WD) is an uncommon recessive genetic disorder affecti叩 copper metabolism. Cardiac, neurological, hepatic and renal manifestations are well defined, nevertheless approximately 30% of patients debut with neuropsychiatric symptoms. These psychiatric alterations resulting from the accumulation of this heavy metal in the basal ganglia are some how less specific. We present a short review of psychiatric symptoms of WD and describe a case of a 37-year-old woman diagnosed with WD who presented neuropsychiatric symptoms and had a consequent delay in diagnosis and causal treatment. Patients who develop WD starti叩 with a predominance of neuropsychiatric symptoms tend to manifest hepatic symptoms later, therefore have a longer delay of diagnosis and a poorer outcome than patients with hepatic symptoms. An early diagnosis ofWD can avoid irreversible neurological damage.