Case Report

Acute Intermittent Porphyria in a Man with Dual Enzyme Deficiencies

Table 1

Biochemical analyses in the father.

DateQualitative PBG testALA, mg/24 hPBG, mg/24 hUTP, µg/24 hPPI (λ, 619 nm)Urinary thin layer chromatography (UTLC, %)
CoproporphyrinPentaporphyrinHexaporphyrinHeptaporphyrinUroporphyrin

18.07.07Negative44565.810553050
21.01.081392
11.09.08231
12.03.09118
21.12.10186
08.02.121385
27.06.12134
16.01.1365
28.05.14107
18.11.15Negative11.1160

Parameters determined: UTP, urinary total porphyrins. PPI, plasma porphyrin index. Normal values: ALA ≤ 4; PBG ≤ 2; UTP 20–250; PPI ≤ 1,30. Using Ehrlich reactive for PBG detection.