ENDER ÖDEMİŞ, F MÜJGAN AYNACI, SEMA TANRIÖVER KANDİL, TÜLİN YÖNTEM, MERAL TOPÇU
Annals of Medical Sciences - 2003;12(3):89-92
Wilson Disease (WD) an inherited copper metabolism disorder can affect several systems. Although hepatic presentation predominates in early childhood, neuropsychiatric features are evident in adolescent age group. Many of psychiatric symptoms can be observed in patients with WD such as depressive mood, personality changes, or schizophrenia. Misdiagnosis and inappropriate treatment are not uncommon when psychiatric symptoms are the presenting complaints. In this article we present a 14 year-old boy with WD who had received antidepressive treatment because of his initial depressive symptoms. Diagnosis of WD was confirmed by increased 24-hour urinary copper excretion and Kayser-Fleischer ring in cornea. In patients with WD, initial depressive mood suggesting a psychiatric disorder may lead to misdiagnosis.
