Sunflower cataract: do not forget Wilson's disease.
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.
II Department of Neurology, Institute Psychiatry and Neurology, Warsaw, Poland.
Tomasz
T
Litwin
Department of Ophthalmology, Medical University Warsaw, Warsaw, Poland.
Ewa
E
Langwińska-Wośko
II Department of Neurology, Institute Psychiatry and Neurology, Warsaw, Poland.
Karolina
K
Dzieżyc
II Department of Neurology, Institute Psychiatry and Neurology, Warsaw, Poland Department of Experimental and Clinical Pharmacology, Medical University, Warsaw, Poland.
Anna
A
Członkowska
D000328:Adult; D002386:Cataract / Q000175:diagnosis* / Q000209:etiology*; D003941:Diagnostic Techniques, Ophthalmological; D006527:Hepatolenticular Degeneration / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008103:Liver Cirrhosis / Q000209:etiology; D008297:Male
KAYSER-FLEISCHER RING; SUNFLOWER CATARACT; WILSON-S DISEASE