Acute porphyria in an intensive care unit

作者：de Mora Almazan Maria Calvo; Acuna Mariano; Garrido Astray Concepcion; Arcos Pulido Beatriz; Gomez Abecia Sara; Chicot Llano Marta; Gonzalez Parra Emilio; Gracia Iguacel Carolina; Alonso Alonso Pablo Pedro; Egido Jesus; Enriquez de Salamanca Rafael

来源：Emergencias, 2012, 24(6): 454-458.

• Acute porphyria
• Seizure
• Intermittent acute porphyria
• Coproporphyria
• Intensive care

Porphyrias are rare hereditary metabolic disorders caused by the inactivity of certain enzymes that participate in heme synthesis. We report 3 cases in which porphyria debuted with acute episodes in young patients. As is often the case, diagnosis was delayed, and intensive care was required for severe encephalopathy. Symptoms improved rapidly after hemin therapy was started, but peripheral polyneuropathy persisted for several months in 1 patient. We report the first case of a porphyria-related seizure triggered by use of the morning-after pill (levonorgestrel). [Emergencias 2012;24:454-458]

• 出版日期2012-12