IMPORTANCE OF ROUTINE BIOCHEMICAL STUDY IN CHILD PSYCHIATRY CASE REPORT: WILSON’S DISEASE
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IMPORTANCE OF ROUTINE BIOCHEMICAL STUDY IN CHILD PSYCHIATRY CASE REPORT: WILSON’S DISEASE

Turk J Child Adolesc Ment Health 2009;16(3):148-152
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Abstract

Wilson’s Disease is a rare autosomal recessive inherited disorder of copper metobolism. Its sypmtoms rarely appear before the age of 5 years. Patients present with liver, neurological, or psychiatric symptoms typically between the ages of 10 and 40. The reported case was a 7 years old boy who applied to Child and Adolescent Psychiatry Department at Medical Faculty of Mersin University with psychiatric symptoms who had been diagnosed as attention deficiency hyperactivity disorder (ADHD) with using DSM- IV (Diagnostic and Statistical Manual of Mental Disorders) diagnostic criteria. Before psychopharmacological treatment the patient’s biochemical laboratory results and other investigations were demanded. After the hepatic enzyme dsyfunctions were detected, the case was consulted by the pediatry department. The patient was diagnosed as Wilson’s Disase after the hepatic biopsy. In this case, psychiatric symptoms were reduced after chelation therapy and the patient didn’t need psychopharmacological therapy. This case shows us that using main biochemical tests may be necessary before the psychopharmacological therapy.

Keywords: Wilson’s disease, attention deficit hyperactivite disorder, copper.