Idiopathic Thrombocytopenia and Neurologic Manifestations in A Young Female Leading to the Diagnosis of Wilson’s disease

Seyed Mohammad Salar Zaheryany; Reza  Bidaki; Nahid Hemmatian Brujeni; Mohammad Rezvani; Mitra Hakim Shooshtari

IJ Psychiatry and Behavioral Sciences

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Idiopathic Thrombocytopenia and Neurologic Manifestations in A Young Female Leading to the Diagnosis of Wilson’s disease

Author(s):

Seyed Mohammad Salar Zaheryany¹,

Reza Bidaki^2,*,

Nahid Hemmatian Brujeni¹,

Mohammad Rezvani¹,

Mitra Hakim Shooshtari¹

1Tehran University of Medical Sciences, Tehran, Iran

2Rafsanjan University of Medical Sciences, Rafsanjan, Iran

IJ Psychiatry and Behavioral Sciences:Vol. 6, issue 2; 99-6

Published online:Dec 30, 2012

Article type:Case Report

Received:Aug 27, 2011

Accepted:Sep 01, 2012

How to Cite:Seyed Mohammad Salar ZaheryanyReza BidakiNahid Hemmatian BrujeniMohammad RezvaniMitra Hakim ShooshtariIdiopathic Thrombocytopenia and Neurologic Manifestations in A Young Female Leading to the Diagnosis of Wilson’s disease.Iran J Psychiatry Behav Sci.6(2):99-6.

Abstract

We present a 19-year-old patient with hematologic and neurologic manifestations associated with Wilson’s disease. Idiopathic thrombocytopenia was diagnosed in October 2009. Bone marrow aspiration was normal. Gradually her neurologic and psychiatric symptoms emerged, dysarthria, writing apraxia, learning difficulties, emotionalism and eventually dystonia of hands. The serum ceruloplasmin was low, and the Kayser Fleischer's ring was positive. MRI of the brain showed abnormality in the bilateral basal ganglia, brain stem and superior cerebellar peduncles without post-contrast enhancement.

Declaration of interest: None

Citation: Zaheryany SMS, Bidaki R, Hemmatian Brujeni N, Rezvani M, Hakim Shooshtari M, Idiopathic thrombocytopenia and neurologic manifestations in a young female leading to the diagnosis of Wilson’s disease. Iran J Psychiatry Behav Sci 2012; 6(2): 96-99

Keywords

Apraxia

Kayser Fleischer's ring

Thrombocytopenia

Wilson’s disease

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