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Medicine Parkinsonism and other movement disorders 118c48ea

An 18-year-old boy is admitted with psychotic behavior. On examination, he is having dystonia and in-coordination. Liver enzymes are elevated. Which of the following is a possible diagnosis?

A
Rheumatic Chorea
B
Westphal variant of Huntington disease
C
Wilson disease
D
Hallervorden Spatz disease
High-Yield Explanation
Disease Differentiating Features Rheumatic chorea -Emotional lability and poor handwriting -Hung up reflexes, -Pronator sign -Daing tongue LFT is normal. Westphal variant of Huntington disease Akinetic-rigid Parkinsonism like LFT isnormal. Hallervorden Spatz disease -Parkinsonism like features -Cognitive decline -Retinal pigmentary changes Wilson disease. -Basal ganglia damage -Deranged liver function

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