A case of liver failure due to Wilson's disease who had psychiatric symptoms of " Hikikomori", i.e., social withdrawal

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Other Title
  • ひきこもりにて肝不全の発見が遅れたWilson病の1例
  • 症例報告 ひきこもりにて肝不全の発見が遅れたWilson病の1例
  • ショウレイ ホウコク ヒキコモリ ニテ カンフゼン ノ ハッケン ガ オクレタ Wilsonビョウ ノ 1レイ
  • A case of liver failure due to Wilson^|^apos;s disease who had psychiatric symptoms of ^|^quot; Hikikomori^|^quot;, i.e., social withdrawal

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A 20-year-old man consulted a local doctor due to edema and dyspnea. He was referred to our hospital because he had jaundice and pleural effusion. He had psychiatric symptoms of " Hikikomori", i.e., social withdrawal, and had stayed indoors for 3 years. He was diagnosed with liver failure due to Wilson's disease by blood test, urine cupper, and Kayser-Fleischer ring. Conservative treatments were not effective enough, and he was rescued by liver transplantation. Wilson's disease is known to cause various neuropsychiatric symptoms, and his " Hikikomori" symptoms may be caused by Wilson's disease. We report a case of liver failure due to Wilson's disease who had symptoms of social withdrawal.

Journal

  • Kanzo

    Kanzo 55 (12), 749-755, 2014

    The Japan Society of Hepatology

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