RT Journal Article SR Electronic T1 Metabolic bone disease heralding the diagnosis of Wilson’s disease JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e252290 DO 10.1136/bcr-2022-252290 VO 16 IS 7 A1 Bhadada, Sanjay A1 Malhotra, Bhanu A1 Shetty, Anirudh A1 Mukherjee, Soham YR 2023 UL http://casereports.bmj.com/content/16/7/e252290.abstract AB We report a short-statured, young man in his 20s presenting with bilateral cataract, recurrent kidney stones, history of refractory rickets and bone deformity. He had been consuming calcium and vitamin D supplements and had been operated for cataract and renal stone disease, prior to reporting in our clinic without any significant laboratory or clinical improvement. The patient was diagnosed as having Fanconi’s syndrome attributable to Wilson’s disease. This patient highlights that in case of resistant rickets, a high index of suspicion must be invoked for Wilson’s disease. Timely recognition of this entity results in prompt ministrations and prevention of disability.