Psychiatric symptoms in Porphyria- Causal? Or Coincidental? - A case report
Journal Title: Stanley Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
The porphyrias are a heterogenous group of inborn errors of metabolism caused by inherited, and rarely acquired, enzyme defects in heme biosynthesis pathway. The acute porphyrias are characterized by periodic attacks of neurovisceral symptoms including abdominal pain, neurologic deficits, psychiatric symptoms, and high coloured urine. Frequently, the disorder stays occult for a long time. Mental disorders occur in 24% to 80% of cases and every psychiatric symptom has been reported in literature ranging from hysteria, anxiety, depression, Obsessive Compulsive Disorders, phobias, psychosis, organic disorder to agitation and altered consciousness ranging from delirium to somnolence and coma. Despite standard laboratory tests and genetic screening, in the majority of patients, the onus of diagnosis, lays with skilful and thorough history taking.
Authors and Affiliations
Vanishree G, Venkatesh Madan Kumar, Asokan TV
Keywords
Related Articles
- EP ID EP217314
- DOI -
- Views 86
- Downloads 0
SUBCUTANEOUS FAT NECROSIS OF NEWBORN WITH ASYMPTOMATIC HYPERCALCEMIA.
A 9 day old male baby born of consanguinous marriage postmaturely by labour naturale was admitted for birth asphyxia and meconium aspiration in NICU for a week developed multiple erythematous nodules over the back, butto...
A CASE REPORT OF BILATERAL LUMBAR RIBS
A 32 year old female who had undergone double value replacement at JIPMER, Pondicherry, had come to Stanley Cardiothoracic OP for productive cough and fever. After examination a chest X-ray PA view and plain x-ray abdome...
X – linked hypophosphatemic rickets
X –linked hypophosphatemic rickets is the one of the rare causes of rickets with variable penetrance. Early diagnosis and treatment with oral phosphate, high doses of calcitriol is important to prevent progressive bowing...
Burden of dengue fever and investigating challenges,Melur block,Tamilnadu,India
Introduction: Dengue has fast emerged to be an important public health problem for its ability to occur in large scale outbreaks .During the 1st week of October 2012, there were reports of rapid increase in number of fev...
A RARE CASE OF AMYANDS HERNIA WITH MUCOCELE APPENDIX
Amyand’s hernia is one of the rare conditions that occurs in adult where the inguinal hernia sac contains appendix as its content. Mucocele appendix on the other hand is another rare entity and rare cause for appendiciti...