Wilson's disease presenting as isolated obsessive-compulsive disorder.
Indian J Med Sci
;
2007 Nov; 61(11): 607-10
Article
Dans Anglais
| IMSEAR
| ID: sea-66644
ABSTRACT
Wilson's disease (WD) is a genetic neurodegenerative disorder; it exhibits wide heterogeneity in symptoms and usually presents with liver disease and/ or neuropsychiatric manifestations. The common neurological manifestations observed are dysarthria, gait disturbance, dystonia, rigidity, tremor, dysphagia and chorea. The frequent psychiatric manifestations reported are personality and mood changes, depression, phobias, cognitive impairment, psychosis, anxiety, compulsive and impulsive behavior. Isolated obsessive-compulsive disorder (OCD) is a rare presentation of WD. Reported herein is a case of a 17-year-old boy with isolated OCD. He presented to the psychiatrist with symptoms of contamination obsessions and washing compulsions, along with compulsion of repeated feet tapping and was treated with adequate doses of fluoxetine for 6 months but did not improve. Later on, he was diagnosed as a case of WD and showed improvement with chelating and behavior therapy. This implies the importance of the occurrence of isolated psychological symptoms in WD.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Humains
/
Mâle
/
Imagerie par résonance magnétique
/
Traitement chélateur
/
Adolescent
/
Dégénérescence hépatolenticulaire
/
Trouble obsessionnel compulsif
langue:
Anglais
Texte intégral:
Indian J Med Sci
Année:
2007
Type:
Article
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