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 CASE REPORT
Year : 2007  |  Volume : 55  |  Issue : 4  |  Page : 413--415

Acute intermittent porphyria presenting with neurological emergency: Review of six cases


1 Department of Medicine, S.P. Medical College, Bikaner (Raj), India
2 Department of Neurology, S.P. Medical College, Bikaner (Raj), India

Correspondence Address:
Dhanpat K Kochar
C-54, Sadul Ganj, Bikaner
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.33303

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Acute intermittent porphyria presenting with short duration of gastrointestinal symptoms followed by rapidly progressive fulminant neurological syndrome during first attack is relatively uncommon. It is a neurological emergency and mimics many other psychiatric and medical disorders and can be fatal if it remains undiagnosed and untreated. Further, specific treatment in the form of Heme arginate is not universally available and very costly, so high clinical suspicion and early diagnosis and management of acute attack and prevention of further attacks are very important. We report a series of six cases who presented with convulsion and/or polyneuropathy early in the course of disease to highlight this fact.






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Online since 20th March '04
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