معرفي يك مورد بيماري ويلسون با يافته هاي غير معمول

A Case Report of Wilsonʹs Disease with Unusual Findings

Wilsonʹs disease , a hereditary defect of copper metabolism , is a rare and fatal , but treatable condition that often presents diagnostic dilemmas . Hepatic presentations mimics almost all kinds of liver disease and the diagnosis is based on clinical findings . Findings , family history , presence of Kayser-Flescher rings and results of key labratory tests , such as low serum ceruloplasmin level , increased urinary copper excretion and Hepatic Copper content . The aim of this report is to consider normal serum ceruloplasmin level , normal urinary copper excretion and absence of kayser-Frescher ring in one patient with acute hepatitis whose diagnosis of Wilsonʹs disease was delayed for one year until neuropsychiatry manifestations and kayser-Flescher ring appeared . So it is important to consider the diagnosis of Wilsonʹs disease in all patients with hepatitis with unknown etiology .