PMC10041581_01
Showing smiling facies of patient.
10.1177_2333794X231163418-fig1.jpg
PMC10041581_01_10.1177_2333794X231163418-fig1.jpg
fig1-2333794X231163418
On examination, the child was conscious and oriented and appeared to be always smiling (Figure 1).
Showing bilateral KF ring slit lamp examination.
10.1177_2333794X231163418-fig2.jpg
PMC10041581_01_10.1177_2333794X231163418-fig2.jpg
fig2-2333794X231163418
In slit lamp examination of the eyes, bilateral Keyser-Fleischer (KF) ring was present (Figure 2).
Showing MRI brain: bilateral hyperintensity of putamen and panda sign.
10.1177_2333794X231163418-fig3.jpg
PMC10041581_01_10.1177_2333794X231163418-fig3.jpg
fig3-2333794X231163418
MRI brain showed bilateral putamen hyperintensity and panda sign suggestive of Wilson disease (Figure 3).