title: Catatonia: an unusual manifestation of Wilson's disease.
abstract: Wilson's disease, characterized by abnormal copper accumulation in the human body, may present with psychiatric manifestations in about one-fifth of patients. The authors report a patient with Wilson's disease who initially presented with acute psychosis and later developed catatonic symptoms. The atypical presentation led to a delay in diagnosis and institution of appropriate treatment. Wilson's disease can be ruled out in all young patients presenting with psychiatric symptoms for the first time by screening for a Kayser-Fleischer ring.
authors.affiliation: From the Post-Graduate Institute of Medical Sciences, Rohtak, Haryana, India (AB); and All India Institute of Medical Sciences-Psychiatry, New Delhi, Delhi, India (ST, MS, SKK).
authors.forename: Aniruddha
authors.initials: A
authors.lastname: Basu
authors.forename: Sivakumar
authors.initials: S
authors.lastname: Thanapal
authors.forename: Mamta
authors.initials: M
authors.lastname: Sood
authors.forename: Sudhir K
authors.initials: SK
authors.lastname: Khandelwal
mesh_terms: D002389:Catatonia / Q000175:diagnosis* / Q000503:physiopathology*; D005260:Female; D006527:Hepatolenticular Degeneration / Q000503:physiopathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D055815:Young Adult