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J Neurosci Rural Pract. 2018 Oct-Dec;9(4):616-618. doi: 10.4103/jnrp.jnrp_515_17.

A Case Report of Misdiagnosis of Psychotic Symptoms Predominant Wilson's Disease.

Author information

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.

Abstract

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.

KEYWORDS:

Misdiagnosis; Wilson's disease; psychosis

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