{"pk":1205,"title":"Consideration of Acute Porphyria in an Emergency Department Patient: A Case Report and Discussion  of Common Pitfalls","subtitle":null,"abstract":"Introduction: \nPorphyria refers to a group of disorders associated with defects in heme synthesis. They can be associated with severely debilitating features, including abdominal pain, psychiatric symptoms, neurological defects, and cardiovascular irregularities. Although these diseases are rare, patients with attacks often do present to the emergency department (ED) where consideration of porphyria is generally not included in the differential.\nCase Report:\n Here, we examine a case of a 16-year-old male who presented to our ED for evaluation of recurring abdominal pain and auditory hallucinations in which porphyria was considered by the emergency physician.\nDiscussion:\n Not considering acute porphyria in patients with recurring neurovisceral symptoms in the ED can lead to missed opportunities for diagnosing such pathologies.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"acute hepatic porphyria"},{"word":"porphobilinogen"},{"word":"aminolevulinic acid"},{"word":"recurring abdominal pain"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/986993tm","frozenauthors":[{"first_name":"Anthony","middle_name":"","last_name":"Rios","name_suffix":"","institution":"University of Tennessee, Department of Biochemistry, Knoxville, Tennessee","department":"None"},{"first_name":"Lisa","middle_name":"","last_name":"Kehrberg","name_suffix":"","institution":"Family Medicine, Lincolnshire, Illinois","department":"None"},{"first_name":"Hillary","middle_name":"E.","last_name":"Davis","name_suffix":"","institution":"University of Tennessee Medical Center, Department of Emergency Medicine, Knoxville, Tennessee","department":"None"}],"date_submitted":"2022-11-07T23:46:44Z","date_accepted":"2022-11-07T23:46:44Z","date_published":"2022-11-07T08:00:00Z","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1205/galley/944/download/"}]}