[Acute intermittent porphyria and inappropriate ADH syndrome]. / Porfiria aguda intermitente y síndrome de secreción inadecuada de ADH.
Rev Esp Anestesiol Reanim
; 57(5): 311-3, 2010 May.
Article
en Es
| MEDLINE
| ID: mdl-20527347
ABSTRACT
A 44-year-old woman complained of abdominal pain of 4 days' duration accompanied by vomiting and painful urination. The admitting physician noted neurologic signs consistent with axonal polyneuropathy and hyponatremia. In the absence of other explanations for the syndrome, SIADH was diagnosed. Because of the nonspecific nature of the observations, the patient was assessed by various specialists and admitted to the anesthetic recovery unit due to worsening of neurologic signs and suspicion of acute intermittent porphyria. The diagnosis was confirmed by laboratory findings of elevated d-aminolevulinic acid and porphobilinogen levels and normal stool porphyrins. The patient improved with intravenous hematin infused over 4 days.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Porfiria Intermitente Aguda
/
Síndrome de Secreción Inadecuada de ADH
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
Es
Revista:
Rev Esp Anestesiol Reanim
Año:
2010
Tipo del documento:
Article