Baptista Inês, Alves Patrick
Psychiatry, Centro Hospitalar São João, Porto, PRT.
Cureus. 2025 Apr 3;17(4):e81645. doi: 10.7759/cureus.81645. eCollection 2025 Apr.
Wilson's disease is a rare disorder characterized by the accumulation of copper in multiple organs. Psychiatric symptoms are somewhat common but can take many different forms, which complicates their identification. We present a case where suicidal ideation and severe sleep disturbance were the central symptoms of the initial presentation. This case shows how psychiatric symptoms in uncompensated Wilson's disease can look like and how they are managed, as well as a psychological perspective into therapy nonadherence in chronic illness.
威尔逊氏病是一种罕见的疾病,其特征是铜在多个器官中蓄积。精神症状较为常见,但可能有多种不同形式,这使得它们的识别变得复杂。我们报告一例以自杀观念和严重睡眠障碍为首发主要症状的病例。该病例展示了失代偿性威尔逊氏病的精神症状表现及处理方式,以及从心理学角度探讨慢性病治疗依从性问题。