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Saudi Journal of Medical and Pharmaceutical Sciences (SJMPS)
Volume-6 | Issue-06 | 446-448
Case Report
Kayser Fleischer Ring - A Strong Clinical Indicator of Neuro-Wilson's Disease
Ashok Rathi, Nidhi Singh, R. S. Chauhan, J. P. Chugh
Published : June 18, 2020
DOI : 10.36348/sjmps.2020.v06i06.005
Abstract
Wilson’s disease is a hereditary disorder of copper metabolism which is characterized by neuropsychiatric and hepatic manifestations as well as appearance of Kayser-Fleischer ring. A male presenting with features of gradually progressive dysphagia, dysarthria, dystonia, abdominal discomfort and difficulty in maintaining balance, was referred for ophthalmic evaluation for any neuro-wilson manifestation. Patient had BCVA of 6/6 both eyes with anterior and posterior segment revealing no significant findings. Slit lamp biomicroscopic examination revealed a yellowish-brown deposits of Kayser Fleischer (KF) Ring following which diagnostic tests for Wilson Disease (WD) were carried out and treated for the same. The dense KF ring conveys that it has been a long-standing disease and a definite indicator of Neuro-wilson disease. This case report emphasize on the significance of early identification of KF ring and its neurological relevance.
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