Evidence map›Paper›PMID 36381968›Full record

ArticleArchives of academic emergency medicine2022

Acute Intermittent Porphyria as a Rare Challenging Neuro-Metabolic Disease; a Case Report.

Elsayed Abed, Omer M Saeed, Basem Abd El-Hamid, Mohamed A Elsayed, Heba Dawoud, Nahla Mohamed Heikal, Ahmed Hanei Elshafie, Aya Hagar, Hossam Emam, Ahmed Farag El-Adawey and 3 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in Archives of academic emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 47% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. A Rare Clinical Presentation of Variegate Porphyria.Molecular genetics & genomic medicine · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Elsayed AbedDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, 11651, Egypt.
Omer M SaeedDepartment of Neurology, Al-Araby international hospital, Monufia, 32951, Egypt.
Basem Abd El-HamidDepartment of Internal Medicine, Faculty of Medicine, Al-Azhar University, Cairo, 11651, Egypt.
Mohamed A ElsayedDepartment of Internal Medicine, Faculty of Medicine, Al-Azhar University, Cairo, 11651, Egypt.
Heba DawoudDepartment of pediatrics, Faculty of Medicine, Tanta University, 31511, Egypt.
Nahla Mohamed HeikalDepartment of pediatrics, Faculty of Medicine, Tanta University, 31511, Egypt.
Ahmed Hanei ElshafieDepartment of Neurology, Shebin Elkom teaching hospital, Monufia, 32951, Egypt.
Aya HagarEgyptian intensive care fellowship, Shebin Elkom teaching hospital, Monufia, 32951, Egypt.
Hossam EmamDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, 11651, Egypt.
Ahmed Farag El-AdaweyDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, 11651, Egypt.
Abdel-Ghaffar FayedDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, 11651, Egypt.
Ahmed Hassan ElsheshinyDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, 11651, Egypt.
Mahmoud Galal AhmedDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, 11651, Egypt.
Al-Azhar University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Porphyria is a challenging metabolic disease due to its heterogeneous presentation symptoms and its difficult diagnosis. Many affected individuals can complain of recurrent neuro-visceral attacks per year, some of which may be persistent and life-threatening, which is confusing if there is no established diagnosis. Although the motor manifestations, autonomic changes and seizure are highly suggestive, the diagnosis is often overlooked and needs confirmatory genetic testing. To the best of our knowledge, the acute intermittent porphyria (AIP) reported in this case, involving severe electrolyte disturbances and rapid severe weakness is a challenging neuro-metabolic case and is extremely rare worldwide. Here, we reported a case of AIP in a young girl who presented to the emergency department of Al-Araby international Hospital, Monufia, Egypt with severe abdominal pain, constipation, and headache which had started 10 days ago. It seems that the diagnosis of porphyria should be considered particularly in those patients with abdominal complaints associated with electrolyte disturbances, seizures, and severe progressive neuropathy.

Indexed as

Acute IntermittentElectrolyte ImbalancePolyneuropathiesPorphyria

Identifiers

PMID36381968
PMCPMC9637264
OpenAlexW4309246670

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.