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- Mislav Klobucić, Duska Sklebar, Renata Ivanac, Dragica Vrabec Matković, Anita Jug-Klobucić, and Ivan Sklebar.
- Department of Internal Medicine, General Hospital Bjelovar, Croatia. mislav.klobucic@bj.t-com.hr
- Med Glas (Zenica). 2011 Aug 1; 8 (2): 298-300.
AbstractAcute intermittent porphyria (AIP) is a rare autosomal dominant disorder of heme biosynthesis in liver due to deficiency of porphobilinogen deaminase enzyme. Clinically, AIP is dominated by a colicky type pain, which does not subside after taking usual analgesics. Additional frequent symptoms are vomiting, hypertension, peripheral neuropathy, seizures, depression, delirium and coma. This paper reported a case of a twenty-five- year-old female patient, who had undergone a period of six days between the first presentation to the medical department and the diagnosis confirmation. It has accentuated possible mistakes in symptomatic therapy administration as well as dangers of a delayed diagnosis.
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