Browsing by Author "Pradhan, Ravi Ranjan"
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Publication Wilson’s Disease with Lymphoproliferative Disorder: A Case Report(Nepal Medical Association, 2025) Jha, Ashish; Sah, Saroj Kumar; Pradhan, Ravi RanjanAbstract Wilson's disease is characterized by copper accumulation in organs like liver, brain, and eyes, presenting with a varied clinical features, making it challenging to diagnose. This report describes a case of Wilson’s disease with unusual hematological features. A 12-year-old from Himalayan region presented with weakness, dysarthria, tremors. Initial investigations revealed pancytopenia, and bone marrow showed a lymphoproliferative disorder. He developed behavioral changes, a flat affect, and scanning speech. Wilson’s disease was confirmed through Kayser-Fleischer rings, reduced serum ceruloplasmin levels, and elevated urinary copper, supported by imaging.