Presentations associated with porphyrias in intensive care units

  • Doungporn Ruthirago Dept of Neurology Texas Tech University Health Science Center Lubbock, TX
  • Parunyou Julayanont Dept of Neurology Texas Tech University Health Science Center Lubbock, TX
  • Supannee Rassameehiran
Keywords: acute intermittent porphyria, pain, neuropathy, hyponatremia

Abstract

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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Published
2016-10-05
How to Cite
Ruthirago, D., Julayanont, P., & Rassameehiran, S. (2016). Presentations associated with porphyrias in intensive care units. The Southwest Respiratory and Critical Care Chronicles, 4(16), 51-55. Retrieved from https://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/314