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Clinical Image: A 28-year-old female

A 28-year-old female

[headline_subtitle subtitle=”Can you come up with the proper diagnosis?”]
Presentation

A 28-year-old woman presented with ataxia, behavioural changes and a ring encircling the iris of her eyes.

Eye of the patient

Question about the eye problem.

L.M. Hubers & A.R. Schuurman

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Wilson’s disease is a genetic disorder causing abnormal copper metabolism. Copper accumulation in the brain and liver may lead to neuropsychiatric symptoms and liver disease. ‘Kayser Fleischer rings’, due to copper deposition in the cornea, was first described in early 1900’s by two German ophthalmologists, dr. Kayser and dr. Fleischer, from Tübingen, who thought it was a sign of multiple sclerosis.

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