Wilson’s disease: differential diagnosis

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Wilson’s disease: differential diagnosis. Essential tremor (ET), Young-onset Parkinson’s disease (PD). Fully referenced neurology checklist.

Clinical differential diagnosis

  • Essential tremor (ET)
  • Young-onset Parkinson’s disease (PD)
  • Generalized dystonia
  • Huntington disease (HD)
  • Neurodegeneration with brain iron accumulation (NBIA)
  • Idiopathic torsion dystonia
  • Chorea-acanthocytosis
  • Benign familial chorea

Other copper deficiency syndromes

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Causes of low serum ceruloplasmin

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References

  1. Prashanth LK, Taly AB, Sinha S, et al. Prognostic factors in patients presenting with severe neurological forms of Wilson’s disease. QJM 2005; 98:557-563. 
  2. Kumar N, Gross JB, Ahlskog JE. Copper deficiency myelopathy produces a clinical picture like subacute combined degeneration. Neurology 2004; 63:33-39.
  3. Nations SP, Boyer PJ, Love LA, et al. Denture cream: an unusual source of excess zinc, leading to hypocupremia and neurologic disease. Neurology 2008; 71:639-643.
  4. Rowin J, Lewis SL. Copper deficiency myeloneuropathy and pancytopenia secondary to overuse of zinc supplementation. JNNP 2005; 76:750-751.
  5. da Silva-Junior FP, Machado AAC, Lucato LT, Cancado ELR, Barbosa ER. Copper deficiency myeloneuropathy in a patient with Wilson disease. Neurology 2011; 76:1673-1674.
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