{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T05:40:52Z","timestamp":1792734052820,"version":"4.5.0"},"reference-count":17,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Huntington disease is an autosomal dominant neurodegenerative disorder characterized by progressive motor, cognitive, and psychiatric dysfunction. We report the case of a 53\u2010year\u2010old man who presented after a suicide attempt involving pesticide ingestion, following years of worsening choreiform movements, reported cognitive decline, and severe depression. Despite a strong multigenerational family history of similar symptoms, the condition was perceived as a familial \u201ccurse,\u201d leading to a prolonged reliance on traditional remedies and delayed engagement with biomedical healthcare services. Examination revealed generalized chorea, dysarthria, motor impersistence, and severe depression. Genetic analysis identified 44 CAG repeats in the\n                    <jats:italic>huntingtin<\/jats:italic>\n                    (\n                    <jats:italic>HTT<\/jats:italic>\n                    ) gene, confirming the diagnosis of Huntington disease. This case underscores the influence of cultural beliefs on healthcare\u2010seeking behavior, which can delay the diagnosis of hereditary neurological disorders until a psychiatric crisis precipitates medical evaluation and intervention.\n                  <\/jats:p>","DOI":"10.1002\/ccr3.73726","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T05:06:55Z","timestamp":1791781615000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unmasking Huntington Disease: How a Neuropsychiatric Crisis Overcame Cultural Barriers to a Delayed Diagnosis"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5960-536X","authenticated-orcid":false,"given":"Charles","family":"Donkor\u2010Baah","sequence":"first","affiliation":[{"name":"Medical Unit Our Lady of Grace Catholic Hospital  Breman Asikuma Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8224-331X","authenticated-orcid":false,"given":"George Harold","family":"Kitson\u2010Mills","sequence":"additional","affiliation":[{"name":"Medical Unit Our Lady of Grace Catholic Hospital  Breman Asikuma Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4445-9532","authenticated-orcid":false,"given":"Stephen Annan","family":"Arthur","sequence":"additional","affiliation":[{"name":"Medical Unit Our Lady of Grace Catholic Hospital  Breman Asikuma Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6724-0045","authenticated-orcid":false,"given":"Irene","family":"Acquah","sequence":"additional","affiliation":[{"name":"Medical Unit Our Lady of Grace Catholic Hospital  Breman Asikuma 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