Acute intermittent porphyria as a cause of respiratory failure: case report.

@article{Asselbergs2009AcuteIP,
  title={Acute intermittent porphyria as a cause of respiratory failure: case report.},
  author={Folkert W. Asselbergs and Ton K Kremer Hovinga and Cees Bouwsma and Jan van Ingen},
  journal={American journal of critical care : an official publication, American Association of Critical-Care Nurses},
  year={2009},
  volume={18 2},
  pages={180, 178-9}
}
A 45-year-old man with end-stage renal disease due to polycystic kidney disease was admitted to the hospital because of recurrent abdominal pain, progressive peripheral motor neuron neuropathy, and respiratory failure. The diagnosis of acute intermittent porphyria was confirmed by an elevated porphyrin concentration in the urine and the presence of an R167Q mutation in the porphobilinogen deaminase gene. Use of hydroxyzine, weight loss, and/or a mild upper respiratory viral infection might have… CONTINUE READING

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