Jha, AshishSah, Saroj KumarPradhan, Ravi Ranjan2025-07-282025-07-282025https://hdl.handle.net/20.500.14572/812Ashish Jha Madhesh Institute of Health Sciences, Janakpurdham, Dhanusha, Nepal Saroj Kumar Sah Kanti Childrens’ Hospital, Maharajgunj, Kathmandu, Nepal Ravi Ranjan Pradhan Beni Provincial Hospital, Beni, Myagdi, NepalAbstract 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.en-USOther