Dysphagia as the First Symptom in Wilson Disease: A Case Report

Primary manifestations of Wilson disease are diverse and may cause delayed diagnosis of the disease which will in turn defer treatment and result in subsequent neurologic and gastrointestinal complications such as dysphagia. Case Report: The patient was a 15-year-old boy who had been visited by several gastroenterologists because of dysphagia and sialorrhea. He had been prescribed with different drugs. Upper gastrointestinal tract radiography and two endoscopies were performed. After all clinical manifestations، low serum ceruloplasmin، low copper، high 24-hour copper excretion، and Kayser-Fleischer rings led to diagnosis of Wilson disease. Treatment by D-penicillamine was started. Dysphagia was cured after a few days of treatment. Neurologic symptoms improved following one-two weeks of treatment. Early diagnosis of Wilson disease when different manifestations are present may help in prevention of neurologic and gastrointestinal complications.