Open AccessSIADH as the initial manifestation of acute intermittent porphyria: A case report
Author(s) -
Kurian Tony,
Rakhee Joshi,
Pradnya Chaudhari,
Reshma Abraham,
Nachiket Joshi,
Adwait Mulye,
Abhinav Wankhede
Publication year - 2021
Publication title -
indian journal of case reports
Language(s) - English
Resource type - Journals
eISSN - 2454-1303
pISSN - 2454-129X
DOI - 10.32677/ijcr.v7i11.3114
Subject(s) - medicine , hyponatremia , acute intermittent porphyria , antidiuretic , abdominal pain , syndrome of inappropriate antidiuretic hormone secretion , porphyria , acute abdominal pain , pediatrics , urine , hormone , surgery
Acute intermittent porphyria (AIP) is a rare autosomal dominant and the most severe form of the inherited hepatic porphyrias, affecting mainly young women. We present the case of an 18-year-old female who presented with severe abdominal pain, purple urine, autonomic dysfunction, and severe hyponatremia, seizures on further evaluation came out to be a case of AIP. This case report is a reminder to keep AIP among the differentials in young female patients with a classic constellation of abdominal urine discoloration syndrome of inappropriate secretion of antidiuretic hormone and autonomic dysfunction.