Journal of Neurosciences in Rural Practice
 
CASE REPORT
Year : 2018  |  Volume : 9  |  Issue : 4  |  Page : 616-618

A case report of misdiagnosis of psychotic symptoms predominant Wilson's disease


1 Department of Internal Medicine, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
2 Department of Psychiatry, B.P. Koirala Institute of Health Sciences, Dharan, Nepal

Correspondence Address:
Dr. Bhupendra Shah
Department of Internal Medicine, B.P. Koirala Institute of Health Sciences, Dharan
Nepal
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jnrp.jnrp_515_17

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Wilson's disease is an autosomal recessive disease of abnormal copper metabolism. Psychosis is a rare manifestation of Wilson's disease. Few cases of misdiagnosing Wilson's disease as an etiology of psychosis were reported in the literature. We report a case of a 42-year-old patient, who was diagnosed with a schizoaffective disorder and treated with antipsychotics for 3 years with no significant improvement. On reevaluation, we the patient was diagnosed to have Wilson's disease. The patient's symptoms improved significantly with chelation therapy.


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