하시모토뇌병증으로 오인된 후기 발병 윌슨병
Late-Onset Wilson’s Disease Mimics Hashimoto Encephalopathy
이동영, 이가현, 정대수, 김지영,
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이동영 ( Lee Dong-Young )
부산대학교 의과대학 신경과학교실
이가현 ( Lee Gha-Hyun )
부산대학교 의과대학 신경과학교실
정대수 ( Jung Dae-Soo )
부산대학교 의과대학 신경과학교실
김지영 ( Kim Ji-Young )
부산대학교 의과대학 신경과학교실
Abstract
A 48-year-old woman presented with a 1-day history of aggressive behavior. Hashimoto encephalopathy was first suspected based on elevated levels of serum anti-thyroid peroxidase antibody. Her clinical symptoms did not improve despite treatment with intravenous corticosteroid. Abdominal computed tomography revealed liver cirrhosis, and brain T2-weighted magnetic resonance imaging revealed midbrain hyperintensity, and she was finally diagnosed with Wilson’s disease. The Wilson’s disease should be considered in the differential diagnosis in adults presenting with unexplained hepatic, neurological, or psychiatric abnormalities.
키워드
Wilson’s disease; Liver cirrhosis; Copper
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