title: Misdiagnosis of Wilson's Disease in a Patient with Psychiatric Symptoms.
abstract: Therapeutic outcome of Wilson's disease significantly depends upon its early recognition. As Wilson's disease is a rare disorder with protean manifestations, its diagnosis and subsequent treatment are often delayed. We elaborate here the case of a young boy who had initially presented with psychiatrc symptoms suggestive of dissociative fugue followed by withdrawn behaviour and was treated by a psychiatrist with minimal response. This was associated with symptoms of tremors, hypersalivation, and slowness of movements. This case highlights the delay in diagnosing Wilson's disease when faced with the case of a young adult with psychiatric manifestations. It is extremely important for physicians, psychiatrists and health professionals at primary care level to recognize and diagnose this treatable disease at an early stage.
authors: Department of Psychiatry, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors: Doval
authors: D
authors: Nimisha
authors: Department of Neurology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors: Batra
authors: B
authors: Dhruv
authors: Department of Psychiatry, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors: Moun
authors: M
authors: Vikas
authors: Department of Neurology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors: Jha K
authors: JK
authors: Sneh
authors: Department of Neurology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors: Shukla
authors: S
authors: Rakesh
keywords: Misdiagnosis; Wilson's disease; psychiatric illness