Kayser-Fleischer rings

Case contributed by Dr Mark Thurston

Kayser-Fleischer rings.  An examination finding in Wilson disease.

Case Discussion

This 32-year-old patient complained of longstanding difficulty speaking. He also had a tremor.  

Copper deposition in Descemet’s membrane of the cornea. These rings can be either dark brown, golden, or reddish-green, are 1 to 3 mm wide, and appear at the corneal limbus.  With rare exceptions, they are diagnostic of inherited hepatolenticular degenerationWilson disease.

Text and photo courtesy of: Herbert L. Fred, MDHendrik A. van Dijk, via cnx.org

Creative Commons licence.  See references for download source.

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Case information

rID: 51508
Case created: 21st Feb 2017
Last edited: 21st Feb 2017
Inclusion in quiz mode: Included
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