Kayser-Fleischer rings (photo)

Case contributed by Mark Thurston
Diagnosis almost certain

Presentation

Known case of Wilson disease.

Patient Data

Age: Adult.
Photo

Kayser-Fleischer rings.  An examination finding in Wilson disease.

Case Discussion

Longstanding difficulty speaking. He also had a tremor.  

Copper deposition in Descemet 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 also known as Wilson disease.

Text and photo courtesy of: Herbert L. Fred, MDHendrik A. van Dijk, via cnx.org

Creative Commons licence.  See references for download source.

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