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Sunflower cataract: do not forget Wilson's disease
  1. Tomasz Litwin1,
  2. Ewa Langwińska-Wośko2,
  3. Karolina Dzieżyc1,
  4. Anna Członkowska1,3
  1. 1II Department of Neurology, Institute Psychiatry and Neurology, Warsaw, Poland
  2. 2Department of Ophthalmology, Medical University Warsaw, Warsaw, Poland
  3. 3Department of Experimental and Clinical Pharmacology, Medical University, Warsaw, Poland
  1. Correspondence to Dr Tomasz Litwin, Second Department of Neurology, Institute of Psychiatry and Neurology, Sobieskiego 9, Warsaw 02-957, Poland; tomlit{at}medprakt.pl

Abstract

A 41-year-old man with liver cirrhosis of unknown aetiology for 6 years was admitted to our department to confirm the diagnosis of Wilson's disease. He consulted an ophthalmologist who suspected the presence of a sunflower cataract and Kayser–Fleischer ring. At admission, his liver function tests were modestly impaired (Child–Pugh C, 10 pts). Neurological examination was normal, but cognitive functions were mildly impaired. Based on the copper metabolism abnormalities and clinical manifestation, we diagnosed Wilson's disease (Ferenci score, 6 pts) and started treatment with d-penicillamine. Presenting the case we would like to emphasise the significance of the ophthalmological examination in Wilson's disease diagnosis.

  • WILSON-S DISEASE
  • KAYSER-FLEISCHER RING
  • SUNFLOWER CATARACT

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