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Case Reports in Psychiatry
Volume 2014, Article ID 152821, 4 pages
http://dx.doi.org/10.1155/2014/152821
Case Report

Feigning Acute Intermittent Porphyria

1Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston, 5656 Kelley Street, Houston, TX 77026, USA
2Department of Internal Medicine, Division of Hematology, University of Texas Health Science Center at Houston, 5656 Kelley Street, Houston, TX 77026, USA
3University of Texas Health Science Center at Houston, 1941 East Road, Houston, TX 77054, USA

Received 15 July 2014; Revised 12 November 2014; Accepted 13 November 2014; Published 25 November 2014

Academic Editor: Toshiya Inada

Copyright © 2014 Rania Elkhatib et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Acute intermittent porphyria (AIP) is an autosomal dominant genetic defect in heme synthesis. Patients with this illness can have episodic life-threatening attacks characterized by abdominal pain, neurological deficits, and psychiatric symptoms. Feigning this illness has not been reported in the English language literature to date. Here, we report on a patient who presented to the hospital with an acute attack of porphyria requesting opiates. Diligent assessment of extensive prior treatment records revealed thirteen negative tests for AIP.