Acute Intermittent Porphyria (AIP)

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Acute Intermittent Porphyria is an autosomal dominant inherited disorder that affects the liver. Between 5-10 cases per 100,000 people are estimated to have this disorder. This disorder is more common in women than men. The symptoms do not appear until after puberty.

Symptoms

  • abdominal pain
  • nausea and vomiting
  • muscle weakness and paralysis
  • pain in arms, legs, and back
  • hallucination and seizures
  • vascular spasms
  • hypertension
  • heartbeat rate increases

In AIP an enzyme deficiency alone does not cause the attack. Most of the time the attack is brought on by drugs (such as hormonal and dietary drugs) that can provoke the symptoms, causing an attack. The acute attack causes nervous system dysfunction. Sometimes an acute attack is so severe it can cause periods of paralysis. It can also cause respiratory paralysis so severe that the patient is unable to speak, breath, and swallow, and sometimes can  lead to death.

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