Presentations associated with porphyrias in intensive care units

Porphyrias are a group of uncommon congenital metabolic diseases that are difficult to diagnose as they often present with nonspecific symptoms, mimicking other diseases. A significant number of patients with porphyrias have been admitted to intensive care units with acute abdominal pain, neuro-psyc...

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Main Authors: Doungporn Ruthirago, Parunyou Julayanont, Supannee Rassameehiran
Format: Article
Language:English
Published: Southwest Respiratory and Critical Care Chronicles 2016-10-01
Series:Southwest Respiratory and Critical Care Chronicles
Subjects:
Online Access:http://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/314
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author Doungporn Ruthirago
Parunyou Julayanont
Supannee Rassameehiran
author_facet Doungporn Ruthirago
Parunyou Julayanont
Supannee Rassameehiran
author_sort Doungporn Ruthirago
collection DOAJ
description Porphyrias are a group of uncommon congenital metabolic diseases that are difficult to diagnose as they often present with nonspecific symptoms, mimicking other diseases. A significant number of patients with porphyrias have been admitted to intensive care units with acute abdominal pain, neuro-psychiatric symptoms, or hyponatremia. Due to the nonspecific symptoms, many patients have a delayed diagnosis. Moreover, some patients have received treatments that precipitate acute porphyric attacks, such as antibiotics or antiepileptics, causing worsening of symptoms. This article reviews the various clinical presentations and appropriate treatment of acute porphyrias in the ICU. Early diagnosis and appropriate management are important for preventing long-term disability and achieving good outcomes.
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spelling doaj.art-52031668769a4d68a566ffd42fc9e3122022-12-21T18:42:52ZengSouthwest Respiratory and Critical Care ChroniclesSouthwest Respiratory and Critical Care Chronicles2325-92052016-10-014165155276Presentations associated with porphyrias in intensive care unitsDoungporn Ruthirago0Parunyou Julayanont1Supannee RassameehiranDept of Neurology Texas Tech University Health Science Center Lubbock, TXDept of Neurology Texas Tech University Health Science Center Lubbock, TXPorphyrias are a group of uncommon congenital metabolic diseases that are difficult to diagnose as they often present with nonspecific symptoms, mimicking other diseases. A significant number of patients with porphyrias have been admitted to intensive care units with acute abdominal pain, neuro-psychiatric symptoms, or hyponatremia. Due to the nonspecific symptoms, many patients have a delayed diagnosis. Moreover, some patients have received treatments that precipitate acute porphyric attacks, such as antibiotics or antiepileptics, causing worsening of symptoms. This article reviews the various clinical presentations and appropriate treatment of acute porphyrias in the ICU. Early diagnosis and appropriate management are important for preventing long-term disability and achieving good outcomes.http://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/314acute intermittent porphyria, pain, neuropathy, hyponatremia
spellingShingle Doungporn Ruthirago
Parunyou Julayanont
Supannee Rassameehiran
Presentations associated with porphyrias in intensive care units
Southwest Respiratory and Critical Care Chronicles
acute intermittent porphyria, pain, neuropathy, hyponatremia
title Presentations associated with porphyrias in intensive care units
title_full Presentations associated with porphyrias in intensive care units
title_fullStr Presentations associated with porphyrias in intensive care units
title_full_unstemmed Presentations associated with porphyrias in intensive care units
title_short Presentations associated with porphyrias in intensive care units
title_sort presentations associated with porphyrias in intensive care units
topic acute intermittent porphyria, pain, neuropathy, hyponatremia
url http://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/314
work_keys_str_mv AT doungpornruthirago presentationsassociatedwithporphyriasinintensivecareunits
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AT supanneerassameehiran presentationsassociatedwithporphyriasinintensivecareunits