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Residiverende magesmerter forårsaket av akutt intermitterende porfyri
Engelsk titel: Recurrent abdominal pain caused by acute intermittent porphyria Läs online Författare: Rosland JH Språk: Nor Antal referenser: 15 Dokumenttyp: Fallbeskrivning UI-nummer: 01101093

Tidskrift

Tidsskrift for Den Norske Laegeforening 2001;121(24)2818-20 ISSN 0029-2001 E-ISSN 0807-7096 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

BACKGROUND : Acute intermittent porphyria is an inherited metabolic disorder which may remain undiagnosed throughout life unless appropriate biochemical analysis is being performed during an acute attack. MATERIALS, METHOD AND RESULTS : We describe a 26-year-old woman who had been suffering from recurrent abdominal pain for many years. She had been hospitalized several times; her appendix had been removed, and three diagnostic laparoscopies and several gynaecological procedures had not revealed the cause. During an intractable and increasing abdominal pain episode, porphyrins were detected in her urine. Her pain was then treated effectively with a combination of morphine, glucose and haem-arginat infusion. INTERPRETATION : In a patient suffering from repeated episodes of unexplainable abdominal colic, paresis or psychic symptoms, acute intermittent porphyria should be considered as a diagnosis.