Koinzidenz von akuter intermittierender Porphyrie und Morbus Crohn
Autor: | R Arnold, M O Doss, I Sieg, K Beckh, H Blanke, M Stellwaag |
---|---|
Rok vydání: | 2008 |
Předmět: |
congenital
hereditary and neonatal diseases and abnormalities Crohn's disease Pediatrics medicine.medical_specialty business.industry nutritional and metabolic diseases Tetraparesis General Medicine Propranolol Disease medicine.disease Pharmacotherapy Porphyria Medicine Differential diagnosis skin and connective tissue diseases business Acute intermittent porphyria medicine.drug |
Zdroj: | DMW - Deutsche Medizinische Wochenschrift. 115:817-820 |
ISSN: | 1439-4413 0012-0472 |
DOI: | 10.1055/s-2008-1065086 |
Popis: | In the course of four weeks, tetraparesis developed in a 28-year-old man with Crohn's disease for the last six years, treated with glucocorticoids and sulphasalazine. The cause was acute intermittent porphyria which had been previously overlooked because of the similar abdominal symptoms of Crohn's disease. Treatment with glucose, propranolol and haemarginate failed to bring about any improvement, but there was a remission of the porphyria. This case demonstrates that diagnosis of acute intermittent porphyria in the presence of Crohn's disease is difficult, and if delayed therapeutic measures in the face of persisting neurological complications are of little benefit. |
Databáze: | OpenAIRE |
Externí odkaz: |
načítá se...