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Rare EPP case starts with symptoms in liver, not skin, report finds

For a woman with erythropoietic protoporphyria (EPP) in China, the first symptoms did not involve the skin, as is typical, but rather the liver, drawing doctors’ attention to an unusual presentation of the disease. “Timely identification of EPP not only facilitates appropriate management, but may also prevent irreversible hepatic…

Many with unexplained abdominal pain go untested for AHP

Hundreds of patients in Japan with unexplained abdominal pain go untested for acute hepatic porphyria (AHP), despite showing a number of the condition’s hallmark symptoms, a study suggests. Among those who remained undiagnosed after an evaluation at a hospital for abdominal pain, all had two to four characteristic features of…

Variegate porphyria can cause unusual mental health symptoms

The case of a 43-year-old woman with variegate porphyria (VP) who developed acute psychosis despite no prior psychiatric history highlights a less common manifestation of this rare metabolic disorder, according to a new report from clinicians in Europe. While VP usually causes skin sensitivity, abdominal pain, and high blood…

Undiagnosed AIP triggers woman’s sudden psychiatric symptoms

Sudden delusions and paranoia experienced by a 41-year-old woman without a psychiatric history were triggered by an undiagnosed case of acute intermittent porphyria (AIP), according to a case report. The woman was treated with an antipsychotic medication, which completely resolved her psychiatric symptoms. “This case highlights the complexity of…

Rare dual diagnosis of lupus and PCT detailed in case report

A recent case report describes a rare instance of a woman diagnosed with both porphyria cutanea tarda (PCT) and systemic lupus erythematosus (SLE), an autoimmune disease. Her diagnosis was confirmed through laboratory tests and tissue biopsies. “The diagnosis of both pathologies becomes a challenge for physicians in diagnosis…