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Percutaneous Hepatic Perfusion (PHP) with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
Published on: July 31, 2016
[Acute intermittent porphyria: When diagnostic errance jeopardizes patient health]
Guillaume Labarthe1, Anne Galinier2, Florence Rulquin3
1Laboratoire de biochimie, CHU Toulouse Purpan, place Dr-Baylac, 31300 Toulouse, France; Centre de référence des maladies héréditaires du métabolisme, CHU de Toulouse, filière G2M, place Dr-Baylac, 31300 Toulouse, France.
Introduction:
Acute intermittent porphyria is a rare genetic disorder characterized by an enzyme deficiency in heme synthesis, causing an accumulation of neurotoxic precursors. Its clinical symptoms include abdominal and/or lumbar pain, reddish-brown urine, and neuropsychiatric signs.
Observation:
We report the case of a young female patient who presented with several episodes of intense low back pain followed by confusion, visual hallucinations, epileptic seizures, and severe dysautonomia with hypotension and impaired alertness. The diagnosis was established after several weeks of investigation, one year after the onset of symptoms. The course of the disease was marked by an early relapse without any triggering factor, which led to treatment with givosiran, which was spectacularly successful. Treatment-induced hyperhomocysteinemia was successfully corrected with pyridoxine.
Conclusion:
It is essential to be aware of the epidemiology, risk factors, and suggestive symptoms of this potentially serious treatable disease to reduce diagnostic uncertainty, limit long-term complications, and improve prognosis.
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