Acute intermittent porphyria case in clinical practice internist

Porphyria is group of eight metabolic disorders characterized by defects in hemebiosynthesis. The presentation of porphyria is highly variable, and the symptoms are non specific, which accounts in part for delay sinestablishing a diagnosis. Inthisstudy, were port the characteristics of one case acut...

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Main Authors: V. V. Chopyak, Y. F. Tolstyak
Format: Article
Language:English
Published: Kazimierz Wielki University 2019-03-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/25024
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author V. V. Chopyak
Y. F. Tolstyak
author_facet V. V. Chopyak
Y. F. Tolstyak
author_sort V. V. Chopyak
collection DOAJ
description Porphyria is group of eight metabolic disorders characterized by defects in hemebiosynthesis. The presentation of porphyria is highly variable, and the symptoms are non specific, which accounts in part for delay sinestablishing a diagnosis. Inthisstudy, were port the characteristics of one case acute porphyria patients in Ukraine. Case patient is femal, and the age was 20 years. The most frequent presenting symptoms was abdominal pain, dyspnoe, paresis and convulsion. Hyponatremia was the most common electrolyte abnormality. Testing provided a precise diagnosis of the patients:determination of сoproporphyrins in the urine (the survey was conducted three times) three times the figures were slightly increasing, the highest 172 (provision do 120)nmol / day,determination of porphyrins in the blood of 248.5 (rule 60) mcmol / day and intheurine of 422 mcg / L (normal 150mcg / L), and excretion in the urine δ-aminolevolinovoyacid 700 (normal 8-53) mcmol / day. Treatment. Drugs for the treatment of porphyria are not registered in Ukraine, because patients in stable condition was transferred to the Department of porphyria treatment Institute of Hematology and Transfusion (Warsaw, Poland).
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spelling doaj.art-76c2a6147008497eb66efbcc12b6a1812022-12-22T02:55:41ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062019-03-0193Acute intermittent porphyria case in clinical practice internistV. V. Chopyak0Y. F. Tolstyak1Lviv National Medical University named Danylo HalytskyLviv National Medical University named Danylo HalytskyPorphyria is group of eight metabolic disorders characterized by defects in hemebiosynthesis. The presentation of porphyria is highly variable, and the symptoms are non specific, which accounts in part for delay sinestablishing a diagnosis. Inthisstudy, were port the characteristics of one case acute porphyria patients in Ukraine. Case patient is femal, and the age was 20 years. The most frequent presenting symptoms was abdominal pain, dyspnoe, paresis and convulsion. Hyponatremia was the most common electrolyte abnormality. Testing provided a precise diagnosis of the patients:determination of сoproporphyrins in the urine (the survey was conducted three times) three times the figures were slightly increasing, the highest 172 (provision do 120)nmol / day,determination of porphyrins in the blood of 248.5 (rule 60) mcmol / day and intheurine of 422 mcg / L (normal 150mcg / L), and excretion in the urine δ-aminolevolinovoyacid 700 (normal 8-53) mcmol / day. Treatment. Drugs for the treatment of porphyria are not registered in Ukraine, because patients in stable condition was transferred to the Department of porphyria treatment Institute of Hematology and Transfusion (Warsaw, Poland).https://apcz.umk.pl/JEHS/article/view/25024porphyriasymptomstestingtreatment
spellingShingle V. V. Chopyak
Y. F. Tolstyak
Acute intermittent porphyria case in clinical practice internist
Journal of Education, Health and Sport
porphyria
symptoms
testing
treatment
title Acute intermittent porphyria case in clinical practice internist
title_full Acute intermittent porphyria case in clinical practice internist
title_fullStr Acute intermittent porphyria case in clinical practice internist
title_full_unstemmed Acute intermittent porphyria case in clinical practice internist
title_short Acute intermittent porphyria case in clinical practice internist
title_sort acute intermittent porphyria case in clinical practice internist
topic porphyria
symptoms
testing
treatment
url https://apcz.umk.pl/JEHS/article/view/25024
work_keys_str_mv AT vvchopyak acuteintermittentporphyriacaseinclinicalpracticeinternist
AT yftolstyak acuteintermittentporphyriacaseinclinicalpracticeinternist