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A low-frequency, high-amplitude, posture-induced arm tremor, elicited by sustained abduction of the arms, with flexed elbows and palms facing downward, is characteristic of Wilson's disease. See the NEJM article: http://www.nejm.org/doi/full/10.1056/NEJMicm1312190
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“wing‐beating” tremor is typical of Wilson's disease. It is characterized by a low‐frequency, high‐amplitude, posture‐induced proximal arm tremor, elicited by sustained abduction of the arms, with flexed elbows and palms facing downward. Classically, this specific tremor does not respond well to drug therapy.
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