Tagged: Porphyrins

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Porphyria – A case discussion

QUESTION OF THE DAY A 21-year-old young woman, who recently began taking birth control pills, presents to the emergency room with cramping abdominal pain, anxiety, paranoia, and hallucinations. A surgical evaluation, including ultrasound and computed tomography (CT) scan, fails to demonstrate an acute abdominal process. A urinalysis reveals an increase in urine porphyrins. Which of the following is the most likely defect? A. Congenital erythropoietic porphyria B. Variegate porphyria C. Porphyria cutanea tarda D. Acute intermittent porphyria E. Erythropoietic porphyria Answer- D- Acute intermittent porphyria; the patient is suffering from acute intermittent porphyria as  is evident from the clinical manifestations-...

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