伪装急性间歇性卟啉病。
Feigning acute intermittent porphyria.
作者信息
Elkhatib Rania, Idowu Modupe, Brown Gregory S, Jaber Yasmeen M, Reid Matthew B, Person Cheryl
机构信息
Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston, 5656 Kelley Street, Houston, TX 77026, USA.
Department of Internal Medicine, Division of Hematology, University of Texas Health Science Center at Houston, 5656 Kelley Street, Houston, TX 77026, USA.
出版信息
Case Rep Psychiatry. 2014;2014:152821. doi: 10.1155/2014/152821. Epub 2014 Nov 25.
Acute intermittent porphyria (AIP) is an autosomal dominant genetic defect in heme synthesis. Patients with this illness can have episodic life-threatening attacks characterized by abdominal pain, neurological deficits, and psychiatric symptoms. Feigning this illness has not been reported in the English language literature to date. Here, we report on a patient who presented to the hospital with an acute attack of porphyria requesting opiates. Diligent assessment of extensive prior treatment records revealed thirteen negative tests for AIP.
急性间歇性卟啉病（AIP）是一种常染色体显性遗传性血红素合成缺陷病。患有这种疾病的患者可能会出现以腹痛、神经功能缺损和精神症状为特征的发作性危及生命的发作。迄今为止，英文文献中尚未报道过伪装这种疾病的情况。在此，我们报告一名因急性卟啉病发作到医院要求使用阿片类药物的患者。对大量既往治疗记录进行仔细评估后发现，该患者的急性间歇性卟啉病检测结果有13次为阴性。
Zotero 插件