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Schizoaffective Disorder With Missed Diagnosis of Acute Porphyria: A Case Report and Overview

Prim Care Companion CNS Disord 2011;13(6):doi:10.4088/PCC.11br01234
10.4088/PCC.11br01234

ABSTRACT

Acute porphyrias are often misdiagnosed and most commonly present as atypical neuropsychiatric symptoms or acute abdominal pain. Clinicians should suspect acute porphyrias in patients presenting with variable neuropsychiatric symptoms and unexplained pain. Proper identification can lead to less iatrogenicity associated with porphyrinogenic agents, appropriate management, and a better patient outcome. The case of a patient with hereditary coproporphyria, one of the acute porphyrias, is presented to illustrate the broad manifestations, unsuspected diagnosis, and difficulties in management.

Prim Care Companion CNS Disord

2011;13(6):doi:10.4088/PCC.11br01234

Submitted: June 14, 2011; accepted June 22, 2011.

Published online: December 1, 2011.

Corresponding author: Gaurav Jain, MD, Southern Illinois University School of Medicine, 901 W Jefferson, PO Box 19642, Springfield, IL 62794-9642 (gjain@siumed.edu).