Phorphyria and pregnancy: a case report

Authors

  • Eduardo Contreras-Zúñiga
  • Sandra Ximena Zuluaga-Martínez

DOI:

https://doi.org/10.18597/rcog.498

Keywords:

porphyria, hem group, abdominal pain

Abstract

Porphyria is a rare congenital metabolism defect caused by alterations in the genes encoding heme group biosynthesis enzymes. Its clinical importance is mainly due to acute porphyrial crises which can lead to morbidity and mortality by the direct effects of the disease itself or via associated complications such as hyponatraemia. The pattern of attack in porphyrial pregnant women varies considerably between individual patients and individual pregnancies. A clinical case of a pregnant patient is described. She consulted as she was suffering from epigastric pain which was managed as peptic acid disease; this was then treated as acute intermittent porphyria.

Author Biographies

Eduardo Contreras-Zúñiga

Médico Internista. Fundación Valle del Lili. Cali, Colombia. Correo electrónico: edo11@ hotmail.com


Sandra Ximena Zuluaga-Martínez

Médico. Angiografía de Occidente S.A. Cali, Colombia.

References

The European Porphyria Initiative. http://www.porphyria-europe.com/

Kushner JP. Laboratory diagnosis of the porphyrias. N Engl J Med 1991;324:1432-4.

Desnick RJ. The Porphyrias. En: Kasper DL, Harrison TR. Harrison’s Principles of Internal Medicine. 16th edition. New York: McGraw Hill, Medical Pub; 2005. p. 2303-308.

Bonkovsky HL, Barnard GF. Diagnosis of porphyria syndromes: a practical approach in the era of molecular biology. Semin Liver Dis 1998;18:57-65.

Laiwah AC, McColl KE. Management of attacks of acute porphyria. Drugs 1987;34:604-16.

How to Cite

1.
Contreras-Zúñiga E, Zuluaga-Martínez SX. Phorphyria and pregnancy: a case report. Rev. colomb. obstet. ginecol. [Internet]. 2006 Sep. 30 [cited 2024 May 17];57(3):216-8. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/498

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Published

2006-09-30
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