Medical MCQ-An 18-year-old boy is admitted with psychotic behavior. On examination, he is having dystonia and in-coordination. Liver enzymes are elevated. Which of the following is a possible diagnosis?

An 18-year-old boy is admitted with psychotic behavior. On examination, he is having dystonia and in-coordination. Liver enzymes are elevated. Which of the following is a possible diagnosis?

Rheumatic Chorea

Westphal variant of Huntington disease

Wilson disease

Hallervorden Spatz disease

Question Category:

Medicine

Correct Answer:

Wilson disease

Description:

Disease Differentiating Features Rheumatic chorea -Emotional lability and poor handwriting -Hung up reflexes, -Pronator sign -Daing tongue LFT is normal. Westphal variant of Huntington disease Akinetic-rigid Parkinsonism like LFT isnormal. Hallervorden Spatz disease -Parkinsonism like features -Cognitive decline -Retinal pigmentary changes Wilson disease. -Basal ganglia damage -Deranged liver function

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