TY - JOUR T1 - Sunflower cataract: do not forget Wilson's disease JF - Practical Neurology JO - Pract Neurol SP - 385 LP - 386 DO - 10.1136/practneurol-2014-001056 VL - 15 IS - 5 AU - Tomasz Litwin AU - Ewa Langwińska-Wośko AU - Karolina Dzieżyc AU - Anna Członkowska Y1 - 2015/10/01 UR - http://pn.bmj.com/content/15/5/385.abstract N2 - 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. ER -