| CASE REPORT |
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| Year : 2013 | Volume
: 3
| Issue : 4 | Page : 173-175 |
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Ocular manifestations as the initial presentations of Wilson disease
Jinn-Liang Lin1, Ming-Shan He1, Rong-Kung Tsai2
1 Department of Ophthalmology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
2 Department of Ophthalmology, Buddhist Tzu Chi General Hospital; Department of Ophthalmology and Visual Science, Tzu Chi University, Hualien, Taiwan
Correspondence Address:
Rong-Kung Tsai
Department of Ophthalmology, Buddhist Tzu Chi General Hospital, Number 707, Section 3, Chung Yang Road, Hualien 970
Taiwan
 Source of Support: None, Conflict of Interest: None
DOI: 10.1016/j.tjo.2013.03.005
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A 19-year-old woman presented with Kayser-Fleischer ring in her corneas and sunflower cataracts in both eyes. There were no coexisting neurologic or hepatic symptoms, both brain magnetic resonance imaging (MRI) and abdominal echo showed minimal changes. Serum copper concentration (Cu) and ceruloplasmin were abnormal, and 24-hour urine collection showed abnormally high levels of copper (348.0 μg/day). A diagnosis of Wilson disease was made. We report the interesting case of rare manifestations of Wilson disease; initially with ocular presentations without neurologic symptoms. Early detection and treatment of Wilson disease is possible in patients with only ocular manifestations, and can prevent a catastrophic sequel.
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