Wilson's disease associated with psychotic episode - case report

Authors

DOI:

https://doi.org/10.33448/rsd-v11i3.26095

Keywords:

Copper-transporting ATPases; Copper; Psychotic disorders; Marijuana abuse; Alcohol-induced disorders.

Abstract

Wilson's Disease is a rare genetic disorder characterized by a failure in copper metabolism, which promotes copper deposition in both the liver and the brain, which can lead to serious complications if not diagnosed early and treated properly. The present case report exposes a psychotic episode in a patient previously diagnosed with Wilson's Disease and undergoing treatment, who exhibited failures in the follow-up of therapy associated with the excessive use of alcoholic beverages and especially of marijuana cigarettes since adolescence. Therefore, a bibliographical research on the themes was carried out and the discussion permeated about the possible correlations of these factors for the case described. It was concluded that the patient likely had an underdiagnosed psychiatric underlying illness that was exacerbated by accumulation of copper and drug use, causing the psychotic break to occur and thus later allowing for its diagnosis.

References

Anderson, L. A., Hakojarvi, S. L., & Boudreaux, S. K. (1998). Zinc Acetate Treatment in Wilson’s Disease. Annals of Pharmacotherapy, 32(1), 78–87. https://doi.org/10.1345/aph.17075

Brewer, G. J., Terry, C. A., Aisen, A. M., & Hill, G. M. (1987). Worsening of Neurologic Syndrome in Patients With Wilson’s Disease With Initial Penicillamine Therapy. Archives of Neurology, 44(5), 490–493. https://doi.org/10.1001/archneur.1987.00520170020016

Brito, J. C. de F., Coutinho, M. de A. P., Almeida, H. J. F. de, & Nóbrega, P. V. da. (2005). Doença de Wilson: diagnóstico clínico e sinais das “faces do panda” à ressonância magnética. Relato de caso. Arquivos de Neuro-Psiquiatria, 63(1), 176–179. https://doi.org/10.1590/s0004-282x2005000100034

Czlonkowska, A., Gajda, J., & Rodo, M. (1996). Effects of long-term treatment in Wilson’s disease with D-penicillamine and zinc sulphate. Journal of Neurology, 243(3), 269–273. https://doi.org/10.1007/BF00868525

Członkowska, A., Litwin, T., & Chabik, G. (2017). Wilson disease: neurologic features. Handbook of Clinical Neurology, 142, 101–119. https://doi.org/10.1016/B978-0-444-63625-6.00010-0

Dhawan, A., Taylor, R. M., Cheeseman, P., De Silva, P., Katsiyiannakis, L., & Mieli-Vergani, G. (2005). Wilson's disease in children: 37-year experience and revised King's score for liver transplantation. Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society, 11(4), 441–448.

Dubois, R. S., Rodgerson, D. O., & Hambidge, K. M. (1990). Treatment of Wilson’s disease with triethylene tetramine hydrochloride (Trientine). Journal of Pediatric Gastroenterology and Nutrition, 10(1), 77–81. https://doi.org/10.1097/00005176-199001000-00015

Faia, R., Lemos, L. M. de, Mourão-Júnior, C. A., & Andreazzi, A. E. (2016). Copper metabolism and Wilson’s disease: a review. Revista Médica de Minas Gerais, 26. https://doi.org/10.5935/2238-3182.20160133

Fernando, M., van Mourik, I., Wassmer, E., & Kelly, D. (2020). Wilson disease in children and adolescents. Archives of Disease in Childhood, 105(5), 499–505. https://doi.org/10.1136/archdischild-2018-315705

Guyton, A.C. (2006). Tratado de fisiologia médica. Elsevier Brasil.

Lance, L.L., Goldman, M.P., Armstrong, L.L., & Lacy, C.F. (2009). Drug Information Handbook, 18th.

Linn, F. H. H., Houwen, R. H. J., van Hattum, J., van der Kleij, S., & van Erpecum, K. J. (2009). Long-term exclusive zinc monotherapy in symptomatic Wilson disease: experience in 17 patients. Hepatology (Baltimore, Md.), 50(5), 1442–1452. https://doi.org/10.1002/hep.23182

Mulligan, C., & Bronstein, J. M. (2020). Wilson Disease: An Overview and Approach to Management. Neurologic Clinics, 38(2), 417–432. https://doi.org/10.1016/j.ncl.2020.01.005

Nazer, H., Ede, R. J., Mowat, A. P., & Williams, R. (1986). Wilson’s disease: clinical presentation and use of prognostic index. Gut, 27(11), 1377–1381. https://doi.org/10.1136/gut.27.11.1377

Pfeiffer, R. F. (2016). Wilson Disease. CONTINUUM: Lifelong Learning in Neurology, 22(4), 1246–1261. https://doi.org/10.1212/con.0000000000000350

Poujois, A., & Woimant, F. (2018). Wilson’s disease: A 2017 update. Clinics and Research in Hepatology and Gastroenterology, 42(6), 512–520. https://doi.org/10.1016/j.clinre.2018.03.007

Poujois, A., Mikol, J., & Woimant, F. (2017). Wilson disease: brain pathology. Handbook of Clinical Neurology, 142, 77–89. https://doi.org/10.1016/B978-0-444-63625-6.00008-2

Ribeiro, M., Marques, A. C. P. R., Laranjeira, R., Alves, H. N. P., Araújo, M. R. de, Baltieri, D. A., Bernardo, W. M., Lagp, C., Karniol, I. G., Kerr-Corrêa, F., Nicastri, S., Nobre, M. R. C., Oliveira, R. A. de, Romano, M., Seibel, S. D., & Silva, C. J. da. (2005). Abuso e dependência da maconha. Revista Da Associação Médica Brasileira, 51, 247–249. https://doi.org/10.1590/S0104-42302005000500008

Scheiber, I. F., Brůha, R., & Dušek, P. (2017). Pathogenesis of Wilson disease. Elsevier. https://pubmed.ncbi.nlm.nih.gov/28433109/

Silva, A. C. da, Colósimo, A. P., & Salvestro, D. (n.d.). Doença de Wilson (degeneração hepatolenticular): revisão bibliográfica e relato de caso. Rmmg.org, 20(Esp), 404–411. Retrieved December 27, 2021, from http://rmmg.org/artigo/detalhes/1175

Sócio, S. de A., Ferreira, A. R., Fagundes, E. D. T., Roquete, M. L. V., Pimenta, J. R., Campos, L. de F., & Penna, F. J. (2010). Doença de Wilson em crianças e adolescentes: diagnóstico e tratamento. Revista Paulista de Pediatria, 28, 134–140. https://doi.org/10.1590/S0103-05822010000200002

Sturniolo, G. C., Mestriner, C., Irato, P., Albergoni, V., Longo, G., & D’Incà, R. (1999). Zinc therapy increases duodenal concentrations of metallothionein and iron in Wilson’s disease patients. The American Journal of Gastroenterology, 94(2), 334–338. https://doi.org/10.1111/j.1572-0241.1999.851_w.x

Oliveira-Júnior, H.P. (2013). Dependência química: maconha.Universidade Federal do Maranhão. UNASUS/UFMA. Disponível em: Ares.unasus.gov.br. https://ares.unasus.gov.br/acervo/handle/ARES/2048

Walshe, J. M. (1982). TREATMENT OF WILSON’S DISEASE WITH TRIENTINE (TRIETHYLENE TETRAMINE) DIHYDROCHLORIDE. The Lancet, 319(8273), 643–647. https://doi.org/10.1016/s0140-6736(82)92201-2

Zimbrean, P., & Seniów, J. (2017). Cognitive and psychiatric symptoms in Wilson disease. Handbook of) Clinical Neurology, 142, 121–140. https://doi.org/10.1016/B978-0-444-63625-6.00011-2

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Published

15/02/2022

How to Cite

DUARTE, R. C. .; SOUZA, C. P. de .; FREITAS, . A. P. M. de .; DUTRA , L. de A. .; ABDALLA, D. R.; GOMIDE, G. P. M. .; MAGALHÃES, . F. O. . Wilson’s disease associated with psychotic episode - case report. Research, Society and Development, [S. l.], v. 11, n. 3, p. e13111326095, 2022. DOI: 10.33448/rsd-v11i3.26095. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/26095. Acesso em: 23 apr. 2024.

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Health Sciences