Kayser Fleischer ring in chronic liver disease, a case report and survey of literature

Abstract

A 16 yr old female presenting with bilateral Kayser Fleischer ring on slit lamp examination. There were coexisting neurological and hepatic symptoms. Her CT brain and MRI brain reports were abnormal. Ultrasound abdomen revealed coarse echotexture of liver, suggesting of chronic liver disease, and splenomegaly. Blood reports showing decreased serum ceruloplasmin and increased serum copper levels. We report an interesting case of Wilsons disease with coexisting neurological and hepatic symptoms, and characteristic ophthalmic manifestation, where the diagnosis of this condition plays a crucial role in the management and follow up.