Case Reports in Ophthalmology (Oct 2024)

Wilson’s Disease and Nevus of Ota in a Child: A Case Report

  • Achia Nemet,
  • Itai Hacker,
  • Chani Topf-Olivestone,
  • Ran Svirsky,
  • Joseph Pikkel,
  • Michael Kinori

DOI
https://doi.org/10.1159/000541119
Journal volume & issue
Vol. 15, no. 1
pp. 724 – 728

Abstract

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Introduction: Wilson’s disease is a rare autosomal recessive disorder that disrupts copper metabolism. It presents with distinctive ocular manifestations. Oculodermal melanosis, commonly referred to as nevus of Ota, is a painless condition characterized by hyperpigmentation in and around the eye. In this case report, we describe the unique occurrence of both conditions in this pediatric patient. Case Presentation: A 10-year-old girl exhibited classic ocular signs associated with Wilson’s disease, including Kayser-Fleischer rings and sunflower-type cataracts. Additionally, she displayed unilateral confluent gray-blue hyperpigmentation consistent with a nevus of Ota. As of now, the patient remains asymptomatic, with preserved visual acuity. Conclusions: To the best of our knowledge, this case represents the first report of nevus of Ota in a child diagnosed with Wilson’s disease.

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