Jaundice since the age of 7years


A 16 yr. old male has a history of jaundice since the age of 7years. He presents with a chronic progressive course of clumsiness, falling, writing difficulties, intention tremor, flexor spasms, difficulty with speech and swallowing, and ataxia with normal sensation.

He is well known to the neurologist who has diagnosed the patient’s condition a few years ago following blood and urine tests.
This boy is likely to be on the following treatment:

a) Zinc suplements
b) Glucocorticoid supplements
c) Penicillamine medication
d) anti-cholesterol medication
e) He is unlikely to be on any specific medication since there is no effective treatment for this disorder

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