ISSN 2564-7784 | E-ISSN 2564-7040
Case Report
Motor polyneuropathy might be the presenting feature of acute intermittent porphyria
1 Department of Neurology, Gaziantep University School of Medicine, Gaziantep, Turkey  
2 Division of Neurology, Turkish Ministry of Health Hatay Kırıkhan State Hospital, Hatay, Turkey  
Gaziantep Med J 2017; 23: 87-90
DOI: 10.5152/EurJTher.2017.03034
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Key Words: Acute intermittent porphyria; motor polyneuropathy, progressive quadriparesis, peripheral nervous system
Abstract

Acute intermittent porphyria (AIP) is a rare metabolic disorder that is the most common of the acute porphyries. Peripheral neuropathy occurs in 10%–40% of patients during an acute attack. A 25-year-old female presented with progressive quadriparesis for the last two weeks. Appendectomy and cholecystectomy operations were recorded in her past medical history because of abdominal pain attacks. She had acute motor polyneuropathy electroneuromyographic findings. Fluctuations in her liver function tests, tachycardia, high blood pressure, and hyponatremia were observed when she was staying in the hospital. She had a 24-hour urine porphobilinogen value of 48.4 mg, and a high-calorie diet with general nutritional support was started. During follow-up in the hospital, the patient’s clinical symptoms improved gradually. AIP should be kept in mind in cases presenting with motor polyneuropathy even if the diagnosis was not done previously.

 

How to cite: Ekmekyapar Fırat Y, Elçi MA, Geyik S, Neyal AM. Motor polyneuropathy might be the presenting feature of acute intermittent porphyria. Eur J Ther 2017; 23(2): 87-90.

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