Your Patient Is a 25-Year-Old Woman Who Is Experiencing Difficulty

Your patient is a 25-year-old woman who is experiencing difficulty speaking, clumsiness while walking, uncontrolled twitching in her arms, fatigue, and depression. Physical examination shows distinct jaundice in skin and the eyes as well as a discoloration in the periphery of the cornea. These signs and symptoms are most likely indicative of which of the following disorders?

A) acute intermittent porphyria (AIP)
B) hemochromatosis type 1
C) Menkes disease
D) porphyria cutanea tarda (PCT)
E) Wilson disease