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Hyperpigmented patch: an uncommon but early marker of Wilson’s disease
  1. Lokesh Tiwari,
  2. ­Fadila and
  3. Arnab Ghorui
  1. Pediatrics, All India Institute of Medical Sciences Patna, Patna, India
  1. Correspondence to Dr Lokesh Tiwari; lokeshdoc{at}


Wilson’s disease in childhood could present with features ranging from asymptomatic liver disease to acute liver failure and cirrhosis. Neurological manifestations and psychiatric illness occur more commonly in adults and older children. Skin manifestation with Wilson’s disease is not frequently reported in literature but could be an early diagnostic clincher. We present a child with hepatic Wilson’s disease and skin hyperpigmentation. We aim to highlight the possible importance of skin lesions as an early marker of Wilson’s disease.

  • dermatology
  • paediatrics
  • neurogastroenterology

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  • Contributors LT took treatment decisions, conceptualised and made final draft of the manuscript. F and AG contributed in case management, literature review and initial draft of the manuscript. All authors had access to the final draft of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.