| CASE REPORT |
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| Year : 2012 | Volume
: 1
| Issue : 1 | Page : 61 |
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Mismanagement of Wilson's disease as psychotic disorder
Reza Bidaki1, Mina Zarei2, SM Mahdy Mirhosseini3, Samar Moghadami2, Maral Hejrati2, Marjan Kohnavard2, Behnam Shariati2
1 Rafsanjan University of Medical Sciences, Rafsanjan, Iran
2 Tehran University of Medical Sciences, faculty of medicine, Tehran, Iran
3 Medical Students Research Center, School of Medicine, Isfahan University of Medical Sciences,faculty of medicine, Isfahan, Iran
Correspondence Address:
Reza Bidaki
Rafsanjan University of Medical Sciences, Rafsanjan
Iran
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2277-9175.100182
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Wilson's disease (WD) or hepatolenticular degeneration is an inherited neurodegenerative disorder of copper metabolism (autosomal recessive, chromosome13). Psychiatric disorders in WD include dementia, characterized by mental slowness, poor concentration, and memory impairment. Symptoms may progress rapidly, especially in younger patients, but are more often gradual in development with periods of remission and exacerbation. Delusional disorder and schizophrenia-like psychosis are rare forms of psychiatric presentation. In this report, the patient with WD presented by psychosis symptoms and treated mistaken as schizophrenia for almost ten years. Although he has treated with antipsychotics, he had periods of remissions and relapses and never was symptoms free. Since psychosis can be the manifestation of medical diseases such as WD, overall view of these patients is necessary and medical diseases should be considered as a differential diagnosis. |
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