Bipolar Disorder and Wilson’s Disease: A Case Report

Authors

  • S Bhagat St. Mary's Hospital, Decatur, IL, USA
  • H Nepal Department of Psychiatry, Southern Illinois University, Springfield, IL, USA
  • A K Verma Department of Psychiatry, Janaki Medical College, Janakpur, Nepal

DOI:

https://doi.org/10.3126/jpan.v3i2.12399

Keywords:

Bipolar disorder, Ceruloplasmin, Wilson’s disease

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

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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

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Published

2015-04-02

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

Issue

Section

Case Report