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Acute Intermittent Porphyria: A Diagnostic Conundrum.
Cureus
October 2024
Internal Medicine, ABLE Charitable Hospital, Bahrola, IND.
Article Synopsis
- A 20-year-old female presented with severe abdominal pain, nausea, and discolored urine, and was diagnosed with acute intermittent porphyria (AIP) after initial tests showed no abnormalities but later revealed elevated urinary porphobilinogen.
- Her medical history included recurrent urinary tract infections, a past episode of SIADH, and psychiatric issues like anxiety and depression.
- The patient received targeted treatment, including intravenous Haem arginate, leading to improvement, but she required further hospitalization due to symptom recurrence, emphasizing the need for better awareness and education regarding AIP in Acute Medicine.