Bipolar Disorder and Wilson’s Disease: A Case Report
Abstract
Wilson’s disease is an uncommon inherited disorder characterized by low serum ceruloplasmin levels, hypercupriuria and Kayser-Fleischer rings. Here we describe the case of a young boy who presented with symptoms of bipolar depression along with bilateral hand tremors. He was started with Quetiapine but symptoms did not improve. Investigations revealed cirrhotic changes of liver, low serum ceruloplasmin levels, presence of Kayser-Fleischer rings. The diagnosis of Wilson’s disease was confirmed by high 24hr. urinary copper levels. Bipolar symptoms improved after 7 months of initiation of oral penicillamine treatment.
J Psychiatric Association of Nepal Vol .3, No.2, 2014, pp: 50-52
DOI: http://dx.doi.org/10.3126/jpan.v3i2.12399
Author Biographies
S Bhagat, St. Mary's Hospital, Decatur, IL, USA
Clinical observer
H Nepal, Department of Psychiatry, Southern Illinois University, Springfield, IL, USA
MD Resident Physician
A K Verma, Department of Psychiatry, Janaki Medical College, Janakpur, Nepal
Assistant Professor
How to Cite
Bhagat, S., Nepal, H., & Verma, A. K. (2015). Bipolar Disorder and Wilson’s Disease: A Case Report. Journal of Psychiatrists’ Association of Nepal, 3(2), 50-52. https://doi.org/10.3126/jpan.v3i2.12399
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