A rare cause of recurrent abdominal pain: Porphyria

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dc.contributor.authorKarabel, Müsemma A.
dc.contributor.authorAydın, Halil İbrahim
dc.contributor.authorKurt, Ismail
dc.contributor.authorTokgöz, Yavuz
dc.contributor.authorBaysoy, Gökhan
dc.date.accessioned2025-10-24T18:06:46Z
dc.date.available2025-10-24T18:06:46Z
dc.date.issued2014
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractIntroduction and Aim: Acute intermittent porphyria (AIP) is among porphyrias which develop by genetic deficiency of heme biosynthesis. Life-threatening abdominal and neuropsychiatric manifestations are predominantly encountered. Here we have described a prepubertal case which presented first with severe abdominal pain and then diagnosed as AIP during her follow-up. Case: A 12-year-old girl, presented to the emergency department with accelerating abdominal pain, constipation and nausea. In her medical history, during the severe abdominal pain attacks she also had simultaneous arm and leg numbness, and tingling and her urine was red for four years. Physical examination was normal except for subfebrile fever, decreased muscle strength, especially in upper limbs, and hoarseness. The patient was diagnosed with AIP and heme arginate, dextrose 10 % in water infusion and propranolol were administered. With specific treatment hoarseness, abdominal pain and muscle strength were improved within three days. Conclusion: We concluded that, in patients with solely recurrent abdominal pain, constipation, and/or abdominal pain accompanied with neuropsychiatric features, acute porphyria should be suspected and the first step of the treatment is a high level of clinical suspicion. © 2017 Elsevier B.V., All rights reserved.
dc.identifier.doi10.5222/J.GOZTEPETRH.2014.196
dc.identifier.endpage200
dc.identifier.issn1300-526X
dc.identifier.issue3
dc.identifier.scopus2-s2.0-85032913063
dc.identifier.scopusqualityN/A
dc.identifier.startpage196
dc.identifier.urihttps://doi.rog/10.5222/J.GOZTEPETRH.2014.196
dc.identifier.urihttps://hdl.handle.net/20.500.12899/3201
dc.identifier.volume29
dc.indekslendigikaynakScopus
dc.language.isotr
dc.publisherLogos Medical Publishing info@logos.com.tr
dc.relation.ispartofGoztepe Tip Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzScopus_20251023
dc.subjectAbdominal pain
dc.subjectAcute intermittent porphyria
dc.subjectChild
dc.titleA rare cause of recurrent abdominal pain: Porphyria
dc.title.alternativeYineleyen karın ağrısının ender bir nedeni: Porfiri
dc.typeArticle

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