Rimola A, Bruguera M, Rodés J
Arch Intern Med. 1978 Dec;138(12):1857-8.
A patient with cryptogenic cirrhosis was found to have corneal pigmentation rings indistinguishable from Kayser-Fleischer rings on slit-lamp examination. Although she had hepatic encephalopathy that included confusion, tremor, and slurred speech, diagnosis of Wilson's disease was ruled out because urinary cooper excretion and hepatic copper concentrations were below the range found in symptomatic Wilson's disease. The exact nature of these rings could not be determined, and they were considered as Kayser-Fleischer-like rings.
一名隐源性肝硬化患者在裂隙灯检查中发现角膜色素沉着环，与凯-弗环无法区分。尽管她患有肝性脑病，表现为意识模糊、震颤和言语不清，但由于尿铜排泄量和肝铜浓度低于有症状的威尔逊病患者的范围，威尔逊病的诊断被排除。这些环的确切性质无法确定，被视为类凯-弗环。
