A case of liver failure due to Wilson’s disease who had psychiatric symptoms of “Hikikomori”, i.e., social withdrawal

Hiroka Yamago; Kojiro Michitaka; Akiko Shiraishi; Toshihiko Aibiki; Tomonari Okudaira; Tomoe Kawamura; Hiromasa Nakahara; Yoshifumi Suga; Nobuaki Azemoto; Atsushi Hiraoka; Hideki Miyata; Yasunao Miyamoto; Tomoyuki Ninomiya; Koichi Tanaka; Tetsuya Yasunaka; Yuzo Umeda; Takahito Yagi

doi:10.2957/kanzo.55.749

A case of liver failure due to Wilson’s disease who had psychiatric symptoms of “Hikikomori”, i.e., social withdrawal

Hiroka Yamago, Kojiro Michitaka, Akiko Shiraishi, Toshihiko Aibiki, Tomonari Okudaira, Tomoe Kawamura, Hiromasa Nakahara, Yoshifumi Suga, Nobuaki Azemoto, Atsushi Hiraoka, Hideki Miyata, Yasunao Miyamoto, Tomoyuki Ninomiya, Koichi Tanaka, Tetsuya Yasunaka, Yuzo Umeda, Takahito Yagi

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Abstract

A 20-year-old man consulted a local doctor due to edema and dyspnea. He was referred to our hospital because he had jaundice and pleural effusion. He had psychiatric symptoms of “Hikikomori”, i.e., social withdrawal, and had stayed indoors for 3 years. He was diagnosed with liver failure due to Wilson’s disease by blood test, urine cupper, and Kayser-Fleischer ring. Conservative treatments were not effective enough, and he was rescued by liver transplantation. Wilson’s disease is known to cause various neuropsychiatric symptoms, and his “Hikikomori” symptoms may be caused by Wilson’s disease. We report a case of liver failure due to Wilson’s disease who had symptoms of social withdrawal.

Original language	English
Pages (from-to)	749-755
Number of pages	7
Journal	Acta Hepatologica Japonica
Volume	55
Issue number	12
DOIs	https://doi.org/10.2957/kanzo.55.749
Publication status	Published - Jan 7 2015

Keywords

Hikikomori
Liver failure
Liver transplantation
Wilson's disease

ASJC Scopus subject areas

Hepatology

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10.2957/kanzo.55.749

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Yamago, H., Michitaka, K., Shiraishi, A., Aibiki, T., Okudaira, T., Kawamura, T., Nakahara, H., Suga, Y., Azemoto, N., Hiraoka, A., Miyata, H., Miyamoto, Y., Ninomiya, T., Tanaka, K., Yasunaka, T., Umeda, Y., & Yagi, T. (2015). A case of liver failure due to Wilson’s disease who had psychiatric symptoms of “Hikikomori”, i.e., social withdrawal. Acta Hepatologica Japonica, 55(12), 749-755. https://doi.org/10.2957/kanzo.55.749

Yamago, H, Michitaka, K, Shiraishi, A, Aibiki, T, Okudaira, T, Kawamura, T, Nakahara, H, Suga, Y, Azemoto, N, Hiraoka, A, Miyata, H, Miyamoto, Y, Ninomiya, T, Tanaka, K, Yasunaka, T, Umeda, Y & Yagi, T 2015, 'A case of liver failure due to Wilson’s disease who had psychiatric symptoms of “Hikikomori”, i.e., social withdrawal', Acta Hepatologica Japonica, vol. 55, no. 12, pp. 749-755. https://doi.org/10.2957/kanzo.55.749

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abstract = "A 20-year-old man consulted a local doctor due to edema and dyspnea. He was referred to our hospital because he had jaundice and pleural effusion. He had psychiatric symptoms of “Hikikomori”, i.e., social withdrawal, and had stayed indoors for 3 years. He was diagnosed with liver failure due to Wilson{\textquoteright}s disease by blood test, urine cupper, and Kayser-Fleischer ring. Conservative treatments were not effective enough, and he was rescued by liver transplantation. Wilson{\textquoteright}s disease is known to cause various neuropsychiatric symptoms, and his “Hikikomori” symptoms may be caused by Wilson{\textquoteright}s disease. We report a case of liver failure due to Wilson{\textquoteright}s disease who had symptoms of social withdrawal.",

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A case of liver failure due to Wilson’s disease who had psychiatric symptoms of “Hikikomori”, i.e., social withdrawal

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