Muthane U B, Vengamma B, Bharathi K C, Mamatha P
Department of Neurology, St John's Medical College and Hospital, Bangalore, India.
J Intern Med. 1993 Dec;234(6):611-3. doi: 10.1111/j.1365-2796.1993.tb01022.x.
We report on a patient with acute intermittent porphyria (AIP) who, during treatment with hypertonic glucose, developed peripheral neuropathy. Once haeme-arginate was started, the progression of the neuropathy was attenuated. This suggests that hypertonic glucose may be inadequate in preventing the development of neuropathy in a patient with porphyria. However, haeme-arginate, if started early, can attenuate the progression of porphyric neuropathy.
我们报告了一名患有急性间歇性卟啉病（AIP）的患者，该患者在接受高渗葡萄糖治疗期间出现了周围神经病变。一旦开始使用血红素精氨酸，神经病变的进展就会减缓。这表明高渗葡萄糖可能不足以预防卟啉病患者神经病变的发生。然而，血红素精氨酸如果早期开始使用，可以减缓卟啉性神经病变的进展。
