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

• Main Authors: Bhupendra Shah, Suren Limbu
• Format: Article
• Language: English
• Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2018-10-01
• Series: Journal of Neurosciences in Rural Practice
• Subjects: misdiagnosis; psychosis; wilson's disease
• Online Access: http://www.thieme-connect.de/DOI/DOI?10.4103/jnrp.jnrp_515_17

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.