Combined liver and kidney transplantation in acute intermittent porphyria.
We report two patients with acute intermittent porphyria (AIP) who were successfully treated with combined liver and kidney transplantation. Both had a very poor quality of life as a result of years of frequent acute porphyria symptoms, chronic peripheral neuropathy and renal failure requiring dialysis. After transplantation, clinical and biochemical signs of porphyria disappeared. The excretion pattern of porphyrin precursors normalized within the first day and plasma porphyrins returned to normal within a week. These and other recent cases have clarified previous concerns and have helped to formulate the indications for and the timing of transplantation in AIP.
Wahlin
Staffan
S
Department of Gastroenterology and Hepatology, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden. staffan.wahlin@karolinska.se
Harper
Pauline
P
Sardh
Eliane
E
Andersson
Christer
C
Andersson
Dan Eh
DE
Ericzon
Bo-Göran
BG
D005260:Female; D006801:Humans; D011163:Hydroxymethylbilane Synthase / Q000097:blood; D016030:Kidney Transplantation; D016031:Liver Transplantation; D008875:Middle Aged; D011162:Porphobilinogen / Q000097:blood; D017118:Porphyria, Acute Intermittent / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult
D011162:Porphobilinogen; D011163:Hydroxymethylbilane Synthase