Case of patient with Wilson's disease associated with psychotic symptoms

Abstract

The physical disease that could induce the psychotic symptoms was included many kinds of pathological conditions such as neurodegenerative disease, neuronal infection, endocrine disease and metabolic disease. We reported a case of Wilson's disease associated with psychiatric symptoms. A 35 years old male was admitted to our hospital due to severe liver dysfunction with ascites and peritonitis. During the treatment in the internal medicine ward, he had been showed severe psychotic symptoms including paranoia and impulsive action. Then he was needed to be changed to the psychiatric ward because of requiring close supervision mentally. He was diagnosed as organic mental disorder from the point of clinical course and neuroimaging tool. In clinical settings, we should know that Wilson's disease might causes various psychiatric symptoms.