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

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)749-755
Number of pages7
JournalActa Hepatologica Japonica
Volume55
Issue number12
DOIs
Publication statusPublished - Jan 7 2015

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Hepatolenticular Degeneration
Liver Failure
Psychiatry
Substance Withdrawal Syndrome
Hematologic Tests
Pleural Effusion
Jaundice
Liver Transplantation
Dyspnea
Edema
Urine

Keywords

  • Hikikomori
  • Liver failure
  • Liver transplantation
  • Wilson's disease

ASJC Scopus subject areas

  • Hepatology

Cite this

A case of liver failure due to Wilson’s disease who had psychiatric symptoms of “Hikikomori”, i.e., social withdrawal. / Yamago, Hiroka; Michitaka, Kojiro; Shiraishi, Akiko; Aibiki, Toshihiko; Okudaira, Tomonari; Kawamura, Tomoe; Nakahara, Hiromasa; Suga, Yoshifumi; Azemoto, Nobuaki; Hiraoka, Atsushi; Miyata, Hideki; Miyamoto, Yasunao; Ninomiya, Tomoyuki; Tanaka, Koichi; Yasunaka, Tetsuya; Umeda, Yuzo; Yagi, Takahito.

In: Acta Hepatologica Japonica, Vol. 55, No. 12, 07.01.2015, p. 749-755.

Research output: Contribution to journalArticle

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
Yamago, Hiroka ; Michitaka, Kojiro ; Shiraishi, Akiko ; Aibiki, Toshihiko ; Okudaira, Tomonari ; Kawamura, Tomoe ; Nakahara, Hiromasa ; Suga, Yoshifumi ; Azemoto, Nobuaki ; Hiraoka, Atsushi ; Miyata, Hideki ; Miyamoto, Yasunao ; Ninomiya, Tomoyuki ; Tanaka, Koichi ; Yasunaka, Tetsuya ; Umeda, Yuzo ; Yagi, Takahito. / A case of liver failure due to Wilson’s disease who had psychiatric symptoms of “Hikikomori”, i.e., social withdrawal. In: Acta Hepatologica Japonica. 2015 ; Vol. 55, No. 12. pp. 749-755.
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