Abstract
In a patient with a severe attack of acute intermittent porphyria, hematin given intravenously caused marked diminution of serum delta-aminolevulinic acid and porphobilinogen. The decline of aminolevulinate was more rapid than that of porphobilinoge. After 2 days of hematin administration, about 5 days were required for delta-aminolevulinic acid, and 11 days for porphobilinogen to return to the concentrations that were detected before treatment. Urinary excretion of both compounds also decreased after hematin administration. Considerable amounts of porphobilinogen were also found in the cerebrospinal fluid of the patient.
MeSH Terms
Adult
Amino Acids/antagonists & inhibitors,blood,cerebrospinal fluid,urine
Female
Heme/administration & dosage
Humans
Injections, Intravenous
Levulinic Acids/antagonists & inhibitors,blood,cerebrospinal fluid,urine
Porphyrias/drug therapy,metabolism
Porphyrins/antagonists & inhibitors,blood,cerebrospinal fluid,urine
Propionates/antagonists & inhibitors,blood,cerebrospinal fluid,urine
Pyrroles/antagonists & inhibitors,blood,cerebrospinal fluid,urine
Time Factors
Chemicals
Amino Acids
Levulinic Acids
Porphyrins
Propionates
Pyrroles
Heme
Authors & Affiliations
7 authors, click to expand affiliations / ORCID
Bonkowsky H L
Tschudy D P
Collins A
Doherty J
Bossenmaier I
Cardinal R
Watson C J
References (25)
25 references, click to expand
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