Dados do Trabalho

Título

Potomania as symptom in Wilson's Disease: a case report

RESUMO

It is a report of a 22-year-old male patient who, since March 2020, has evolved with depressed mood, apathy, social isolation and speech reduction, anterograde amnesia and dyscalculia. In one month, he presented slowing of speech and hypophony, progressively worsening with dysphagia, imbalance and tremors, especially in the lower limbs. He was restricted to the bed in November 2020. No comorbidities or similar family history and non-consanguineous parents. On physical examination, a palpable liver and free tube. He had depressed mood and bradypsychism; alert, oriented, with micrograph, without other language changes. He presented hypophony and the kayser-fleischer rings were clear, associated with parkinsonism and cognitive impairment. He was diagnosed with Wilson's disease and started treatment, progressing with potomania, with intense fluid intake and vomiting. Psychiatric symptoms in Wilson's disease occur in almost 100%, but potomania are less common, with no cases reported in the disease, so far.

Palavras Chave

Wilson's disease, copper metabolism, potomania.