Acute intermittent porphyria: Difference between revisions

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==Background==
#REDIRECT[[Porphyria]]
 
==Clinical Features==
 
==Differential Diagnosis==
 
==Diagnosis==
 
==Management==
*Analgesia
*Glucose load
**Decreases porphyrin production
**Typical protocol is D10W 3-4 liters daily x 4 days
**Risk of hyponatremia given significant free water load
*Hemin
**Decreases porphyrin production, significantly more potent than glucose
**Recommended for most cases requiring hospitalization, or any with neurologic symptoms
**3-4 mg/kg daily for 4 days
**Can cause significant infusion site phlebitis - minimize by reconstituting in 25% albumin; consider central venous administration
**Very expensive - around $8000 per 313 mg vial
==Disposition==
 
==See Also==
 
==External Links==
 
==References==
<references/>

Latest revision as of 17:48, 1 October 2019

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