title: [Adolescent crisis with cyclic abdominal complaints and regressive behavior].
abstract: In this 18 year old female patient with adolescent crisis, psychic regression and cyclic abdominal pain, the diagnosis of an acute intermittent porphyria was made by positive urine finding of porphobilinogen, by low serum measurement of the enzyme urosynthase and the positive genetic mutation of this enzyme. The article gives a brief report of the pathogenesis, clinical findings, diagnostic tests and the current therapies being undertaken. Further, a list of medications which are indicated or contraindicated relating to the patient with acute intermittent porphyria is noted.
authors.affiliation: Medizinische Klinik, Bezirksspital Affoltern a.A.
authors.forename: E
authors.initials: E
authors.lastname: Breidenstein
authors.forename: L
authors.initials: L
authors.lastname: Steigmeier
authors.forename: E
authors.initials: E
authors.lastname: Minder
authors.forename: C
authors.initials: C
authors.lastname: Hess
mesh_terms: D015746:Abdominal Pain / Q000209:etiology* / Q000523:psychology; D000293:Adolescent; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010348:Patient Care Team; D017118:Porphyria, Acute Intermittent / Q000175:diagnosis* / Q000523:psychology; D011613:Psychotherapy; D012043:Regression, Psychology