A rare cause of recurrent abdominal pain: Porphyria

dc.contributor.authorKarabel M.
dc.contributor.authorAydın H.İ.
dc.contributor.authorKurt İ.
dc.contributor.authorTokgöz Y.
dc.contributor.authorBaysoy G.
dc.date.accessioned2024-04-24T17:58:22Z
dc.date.available2024-04-24T17:58:22Z
dc.date.issued2014
dc.departmentDicle Üniversitesien_US
dc.description.abstractIntroduction and Aim: Acute intermittent porphyria (AIP) is among porphyrias which develop by genetic deficiency of heme biosynthesis. Life-threatening abdominal and neuropsychiatric manifestations are predominantly encountered. Here we have described a prepubertal case which presented first with severe abdominal pain and then diagnosed as AIP during her follow-up. Case: A 12-year-old girl, presented to the emergency department with accelerating abdominal pain, constipation and nausea. In her medical history, during the severe abdominal pain attacks she also had simultaneous arm and leg numbness, and tingling and her urine was red for four years. Physical examination was normal except for subfebrile fever, decreased muscle strength, especially in upper limbs, and hoarseness. The patient was diagnosed with AIP and heme arginate, dextrose 10 % in water infusion and propranolol were administered. With specific treatment hoarseness, abdominal pain and muscle strength were improved within three days. Conclusion: We concluded that, in patients with solely recurrent abdominal pain, constipation, and/or abdominal pain accompanied with neuropsychiatric features, acute porphyria should be suspected and the first step of the treatment is a high level of clinical suspicion. © 2014, Logos Medical Publishing. All Rights Reserved.en_US
dc.identifier.doi10.5222/J.GOZTEPETRH.2014.196
dc.identifier.endpage200en_US
dc.identifier.issn1300-526X
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85032913063
dc.identifier.scopusqualityN/A
dc.identifier.startpage196en_US
dc.identifier.urihttps://doi.org/10.5222/J.GOZTEPETRH.2014.196
dc.identifier.urihttps://hdl.handle.net/11468/23879
dc.identifier.volume29en_US
dc.indekslendigikaynakScopus
dc.language.isotren_US
dc.publisherLogos Medical Publishingen_US
dc.relation.ispartofGoztepe Tip Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAbdominal Painen_US
dc.subjectAcute İntermittent Porphyriaen_US
dc.subjectChilden_US
dc.titleA rare cause of recurrent abdominal pain: Porphyriaen_US
dc.titleA rare cause of recurrent abdominal pain: Porphyria
dc.title.alternativeYineleyen karın ağrısının ender bir nedeni: Porfirien_US
dc.title.alternativeYineleyen karın ağrısının ender bir nedeni: Porfiri
dc.typeArticleen_US

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