Kayser fleischer ring: A strong clinical indicator of neuro-wilson's

• Main Authors: Rajalakshmi Selvaraj, Subashini Kaliaperumal, Pooja Kumari
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2017-01-01
• Series: TNOA Journal of Ophthalmic Science and Research
• Subjects: dense kayser fleischer ring; sunflower cataract; wilson disease
• Online Access: http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2017;volume=55;issue=4;spage=307;epage=309;aulast=Selvaraj

A female child presenting with features of lupus nephritis was referred for ophthalmic evaluation related to autoimmune diseases. It turned out to be a dense yellow-brown deposit of Kayser Fleischer (KF) Ring and sunflower cataract following which diagnostic tests for Wilson disease (WD) were carried out and treated for the same. However, the child died in a month due to hepatic encephalopathy and sepsis. The dense KF ring conveys that it has been long-standing and a definite indicator of Neuro WD. In this brief report, the authors would like to insist on the significance of early identification of KF ring and its neurological relevance.