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KMID : 0359720200380010025
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Journal of the Korean Neurological Association
2020 Volume.38 No. 1 p.25 ~ p.28
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Late-Onset Wilson’s Disease Mimics Hashimoto Encephalopathy
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Lee Dong-Young
Lee Gha-Hyun
Jung Dae-Soo
Kim Ji-Young
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Abstract
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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.
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KEYWORD
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Wilson’s disease, Liver cirrhosis, Copper
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