D.D. MUKHAMETOVA¹, V.S. VASICHKINA¹, N.A. CHEREMINA², M.A. KUNST^1, 2

 ¹Kazan State Medical University of the Ministry of Healthcare of the Russian Federation, Kazan

²Republic Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, Kazan

 Contact details:

Mukhametova D.D. — PhD (medicine), Assistant Lecturer of the Department of Hospital Therapy

Address: 49 Butlerov St., Kazan, Russian Federation, 420012, tel.: +7 (843) 237-32-61, e-mail: muhdilyara@gmail.com

The article presents a clinical case of a patient with acute intermittent porphyria, treated in the Hematology Department of the Republic Clinical Hospital of Tatarstan. The patient was hospitalized several times with suspected acute surgical pathology before the final diagnosis was made. Acute intermittent porphyria is manifested by various nonspecific symptoms, making the doctors prescribe multiple diagnostic and therapeutic manipulations without any effect. A literature review shows that diagnosis of acute intermittent porphyria is often delayed and treatment does not start on time. Also, the lack of medications for pathogenetic therapy complicates treatment and increases lethality. The article describes all stages of the diagnostic search and therapeutic methods of this disease.

Key words: abdominal pain, acute intermittent porphyria, porphobilinogen.

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