title: [Perplexing acute or chronic somatic or psychiatric symptoms: possibly due to porphyria].
abstract: A woman aged 35 years had a classical picture of acute intermittent porphyria. However, the diagnosis was only made after repeated clinical investigations by internists, gastroenterologists, gynaecologists and surgeons working at a university hospital, and after an unnecessary laparotomy. Recent data indicate that acute intermittent porphyria is not a very rare disease. It may run a serious invalidating and life-threatening course. Its manifestations vary and may lead to very different clinical pictures.
authors.affiliation: Academisch Ziekenhuis, afd. Bloedziekten, Nijmegen.
authors.forename: A V
authors.initials: AV
authors.lastname: Schattenberg
authors.forename: B E
authors.initials: BE
authors.lastname: de Pauw
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D000622:Aminolevulinic Acid / Q000652:urine; D019468:Disease Management; D005260:Female; D006801:Humans; D007813:Laparotomy; D001523:Mental Disorders / Q000209:etiology*; D009426:Netherlands; D011162:Porphobilinogen / Q000652:urine; D017118:Porphyria, Acute Intermittent / Q000150:complications / Q000175:diagnosis* / Q000652:urine; D015985:Precipitating Factors; D012008:Recurrence; D014463:Ultrasonography; D019564:Unnecessary Procedures
chemical_list: D011162:Porphobilinogen; D000622:Aminolevulinic Acid
vernacular_title: Onbegrepen acute of chronische somatische of psychiatrische klachten: mogelijk porfyrie.