Abstract
Acute porphyria, though rare, has well-known neurological sequelae. Vasospasm rarely complicates exacerbations of acute intermittent porphyria, but has not been previously reported in hereditary coproporphyria. We describe a porphyric crisis in a woman with previously undiagnosed hereditary coproporphyria (triggered by rifampicin), leading to vasospasm and stroke.
MeSH terms
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Adult
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Brain / diagnostic imaging
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Brain / pathology
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Coproporphyria, Hereditary / chemically induced
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Coproporphyria, Hereditary / complications*
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Coproporphyria, Hereditary / therapy
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Female
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Humans
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Magnetic Resonance Angiography
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Magnetic Resonance Imaging
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Radiography
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Rifampin / adverse effects
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Stroke / diagnosis
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Stroke / etiology*
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Vasospasm, Intracranial / diagnosis
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Vasospasm, Intracranial / etiology*