PT  - JOURNAL ARTICLE
AU  - Tomasz Litwin
AU  - Ewa Langwińska-Wośko
AU  - Karolina Dzieżyc
AU  - Anna Członkowska
TI  - Sunflower cataract: do not forget Wilson's disease
AID  - 10.1136/practneurol-2014-001056
DP  - 2015 Oct 01
TA  - Practical Neurology
PG  - 385--386
VI  - 15
IP  - 5
4099  - http://pn.bmj.com/content/15/5/385.short
4100  - http://pn.bmj.com/content/15/5/385.full
SO  - Pract Neurol2015 Oct 01; 15
AB  - 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.