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Paper Information

Journal:   IRANIAN JOURNAL OF PEDIATRICS   JUNE 2016 , Volume 26 , Number 3; Page(s) 0 To 0.
 
Paper: 

LETTER: ACUTE INTERMITTENT PORPHYRIA: A DIAGNOSTIC CHALLENGE

 
 
Author(s):  VAKILI RAHIM*, ARMANPOOR PARISA
 
* DEPARTMENT OF PEDIATRIC ENDOCRINOLOGY AND METABOLISM, SCHOOL OF MEDICINE, MASHHAD UNIVERSITY OF MEDICAL SCIENCES, MASHHAD, I.R. IRAN
 
Abstract: 

Dear Editor, Porphyrias refer to a group of rare inherited metabolic disorders resulting from reduced activity of any of the enzymes in the heme production pathway. Accumulation of the porphyrin precursors is associated with diverse pathologic changes, and become the basis for diagnostic tests (1). Acute intermittent porphyria (AIP) is themostcommon type of porphyrias, and seizures are typically a manifestation of acute attacks. AIP can also be associated with idiopathic or symptomatic epilepsy (2). Since many antiepileptic drugs can worsen the patient’s condition or disease attacks, knowledge of the effects of AEDs is important. Trying to treat seizuresmayunmaskAIP, which has been previously hidden. Due to the broad spectrum of clinical symptoms, porphyry diagnosis depends on a strong clinical suspicion (3). We present here a child with the final diagnosis of porphyria.

 
Keyword(s): ACUTE INTERMITTENT PORPHYRIA, ANTI-EPILEPTIC DRUGS, EPILEPSY
 
References: 
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