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Images of Memorable Cases: Case 9

Module by: Herbert L. Fred, MD, Hendrik A. van Dijk

Case_9-pres1-1.jpg

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

9. Kayser-Fleischer ring

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 degeneration—Wilson’s disease.

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