alexa Acute Intermittent Porphyria: A Reversible Cause of Cachexia | OMICS International | Abstract
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

Acute Intermittent Porphyria: A Reversible Cause of Cachexia

Bernardino Roca* and Manuel Roca
Medicine Department, Hospital General, University Jaume I, Castellon, Spain
Corresponding Author : Bernardino Roca
Medicine Department
Hospital General, University Jaume I
Catalunya, 33-A, 4-12004, Castellon, Spain
E-mail: [email protected]
Received July 11, 2012; Accepted August 20, 2012; Published August 22, 2012
Citation: Roca B, Roca M (2012) Acute Intermittent Porphyria: A Reversible Cause of Cachexia. J Clin Case Rep 2:184. doi:10.4172/2165-7920.1000184
Copyright: © 2012 Roca B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Acute Intermittent Porphyria (AIP), the most common of acute porphyrias, is due to deficient activity of the enzyme porphobilinogen deaminase. Clinically presents with acute attacks, which comprise a variety of neuropsychiatric and visceral symptoms. The attacks may be precipitated by drugs, alcohol, smoking, reduced caloric intake, infection, surgery, psychological stress, or hormonal changes. Diagnosis is based on demonstration of markedly increased levels of precursors of porphyrins in blood or urine and deficient activity of the responsible enzyme in erythrocytes. Treatment consists of administering glucose and intravenous heme derivatives, and avoidance of precipitating factors. We report a patient with AIP, who presented with severe and protracted symptoms that led her to an impressive state of cachexia.

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