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Pseudo-Kayser-Fleischer Rings
A. J. GIORGIO, MD;
G. E. CARTWRIGHT, MD;
M. M. WINTROBE, MD
Arch Intern Med. 1964;113(6):817-818.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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The Kayser-Fleischer ring is one of the few truly pathognomonic signs in medicine and probably the only one in the field of neurology.1 The characteristic corneal ring occurs only in Wilson's disease (hepatolenticular degeneration), and its recognition allows this diagnosis to be made with certainty.
The purpose of this report is not to challenge this association but to describe the occurrence of a "counterfeit" corneal ring which led initially to the erroneous diagnosis of Wilson's disease.
Report of a Case
The patient, a 42-year-old white male, was seen initially by an ophthalmologist and referred to our clinic with a diagnosis of Wilson's disease. This diagnosis was based on the observation of golden-yellow corneal rings which were thought to be Kayser-Fleischer rings.
The patient had been troubled in the past 20 years by seizures which were reduced in frequency by the administration of diphenylhydantoin (Dilantin) and phenobarbital. He had been
. . . [Full Text PDF of this Article]
Author Affiliations
SALT LAKE CITY
From the Department of Medicine, University of Utah College of Medicine.
Footnotes
Received for publication Dec 17, 1963; accepted Jan 2, 1964.
This investigation was supported by a research grant (AM 04489) and a graduate training grant (AM 5098) from the National Institute of Arthritis and Metabolic Diseases, National Institutes of Health, Bethesda, Md.
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