title: [Acute porphyrias: problem of primary diagnosis in Russia and CIS countries].
abstract: OBJECTIVE
  To analyse manifestations and experience in primary screening diagnosis of acute porphyrias which are rarely encountered and little known by general practitioners.
  
  
  METHODS
  The data on 100 patients with the diagnosis acute porphyria have been analysed. Porphyrin metabolism in differential diagnosis was estimated according to standard techniques.
  
  
  RESULTS
  Analysis of primary diagnosis of acute porphyria hepatica in Russia (region-related prevalence, duration of diagnosis, complications because of late pathogenetic treatment) demonstrates the importance of screening diagnosis of acute porphyria at the level of municipal clinics.
  
  
  CONCLUSIONS
  Early diagnosis prevents severe complications of acute porphyria and reduces cost of examinations in search of accurate diagnosis.
authors.forename: I V
authors.initials: IV
authors.lastname: Karpova
authors.forename: Ia S
authors.initials: IaS
authors.lastname: Pustovoĭt
authors.forename: Iu A
authors.initials: IuA
authors.lastname: Luchinina
authors.forename: V L
authors.initials: VL
authors.lastname: Surin
authors.forename: A V
authors.initials: AV
authors.lastname: Luk'ianenko
authors.forename: S K
authors.initials: SK
authors.lastname: Kravshenko
authors.forename: A M
authors.initials: AM
authors.lastname: Kremenetskaia
mesh_terms: D000293:Adolescent; D000328:Adult; D000622:Aminolevulinic Acid / Q000378:metabolism; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011163:Hydroxymethylbilane Synthase / Q000378:metabolism; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D011162:Porphobilinogen / Q000378:metabolism; D017118:Porphyria, Acute Intermittent / Q000175:diagnosis* / Q000378:metabolism; D011166:Porphyrins / Q000097:blood; D012189:Retrospective Studies; D012426:Russia; D013053:Spectrophotometry
chemical_list: D011166:Porphyrins; D011162:Porphobilinogen; D000622:Aminolevulinic Acid; D011163:Hydroxymethylbilane Synthase