Acute intermittent porphyria: Biochemical and clinical analysis in the Argentinean population
1999; Elsevier BV; Volume: 288; Issue: 1-2 Linguagem: Inglês
10.1016/s0009-8981(99)00139-4
ISSN1873-3492
AutoresAdriana De Siervi, María Victoria Rossetti, Victoria Estela Parera, Manuel Méndez, Laura Sabina Varela, Alcira Batlle,
Tópico(s)Methemoglobinemia and Tumor Lysis Syndrome
ResumoAcute intermittent porphyria (AIP) is the most common type of hepatic acute porphyria. In this work, we have analyzed the biochemical data of all Argentinean AIP families studied in the Porphyrins and Porphyrias Research Centre (CIPYP). We have shown that: (i) the prevalence for this population is about 1:125,000; (ii) the disease is more frequent in women than in men (7:3); (iii) about 60% are latent carriers; (iv) 15% of patients with symptomatic AIP died during an acute attack; (v) the most important precipitating factors of acute attacks in our population were the ingestion of therapeutic drugs (25%), anesthetics in surgical interventions (25%) and infections (20%); (vi) the initial symptom in Argentinean AIP individuals is severe abdominal pain (100%), and it is often accompanied by constipation (37%), anorexia (37%) and tachycardia (30%); and (vii) the percentage of recurrence of the acute attacks is high (81%).
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