Data/hora: 11/06/2024 00:31:37

Provedor de dados: | Anais da Academia Brasileira de Ciências
País: | Brazil
Título: | Biochemical and hematological analysis in acute intermittent porphyria (AIP): a case report
Autores: | SANTOS,ANNA R.R. DOS; ALBUQUERQUE,RAFAELA R. DE; DORIQUI,MARIA J.R.; COSTA,GRACIOMAR C.; SANTOS,ANA PAULA S.A. DOS.
Data: | 2013-09-01
Ano: | 2013
Palavras-chave: | Acute intermittent porphyria; Anemia; C-reactive protein; Hyponatremia.
Resumo: | Acute intermittent porphyria is the most common acute porphyria caused by a decrease in hepatic porphobilinogen deaminase activity, resulting in an accumulation of delta-aminolevulinic acid and porphobilinogen. This disease shows nonspecific signs and symptoms that can be confused with other diseases, thereby making the diagnosis difficult. We report a case of acute intermittent porphyria, reviewing clinical and laboratory aspects, highlighting the hematological and biochemical parameters during and after the crisis. A female patient, aged 28 years, suffered two crises, both presenting gastrointestinal disorders. The second presented neuropsychiatric symptoms. The analysis of hematological and biochemical parameters during the second crisis showed anemia, leukocytosis, hyponatremia, mild hypokalemia, uremia and elevated C-reactive protein. The initial treatment included glucose infusion, a diet rich in carbohydrates and interruption of porphyrinogenic drugs. Subsequently, treatment was maintained with oral contraceptive use. According to the observed data, signs and symptoms of gastrointestinal, neurological and psychiatric disorders, associated with laboratory results presented in this paper can be applied to screen acute porphyria, contributing to early diagnosis.
Tipo: | Info:eu-repo/semantics/article
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0001-37652013000301207
Editor: | Academia Brasileira de Ciências
Relação: | 10.1590/S0001-37652013000300019
Formato: | text/html
Fonte: | Anais da Academia Brasileira de Ciências  v.85 n.3 2013
Fonte: | info:eu-repo/semantics/openAccess