{"title":"严重钙化性冠状动脉疾病胸骨切开术后卟啉症的诊断1例","authors":"Fuad M. Al-Azzam, S. Altarabsheh, M. Khasawneh","doi":"10.5742/MEIM.2017.92937","DOIUrl":null,"url":null,"abstract":"Acute intermittent porphyria (AIP) is an autosomal disorder marked by a deficiency of the enzyme, the hydroxymethylbilane synthase which is part of the heme biosynthesis. It is manifested clinically by multi-system involvement. Our patient does have chronic ischemic heart disease needed surgical revascularization; his sternotomy incision revealed the classical blackish discoloration of the bone marrow, which guided us for his work up and diagnosis.","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"432 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Diagnosis of Porphyria after Sternotomy for Severe Calcific Coronary Artery Disease : A Case Report\",\"authors\":\"Fuad M. Al-Azzam, S. Altarabsheh, M. Khasawneh\",\"doi\":\"10.5742/MEIM.2017.92937\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Acute intermittent porphyria (AIP) is an autosomal disorder marked by a deficiency of the enzyme, the hydroxymethylbilane synthase which is part of the heme biosynthesis. It is manifested clinically by multi-system involvement. Our patient does have chronic ischemic heart disease needed surgical revascularization; his sternotomy incision revealed the classical blackish discoloration of the bone marrow, which guided us for his work up and diagnosis.\",\"PeriodicalId\":243742,\"journal\":{\"name\":\"Middle East Journal of Internal Medicine\",\"volume\":\"432 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2017-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Middle East Journal of Internal Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5742/MEIM.2017.92937\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Middle East Journal of Internal Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5742/MEIM.2017.92937","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Diagnosis of Porphyria after Sternotomy for Severe Calcific Coronary Artery Disease : A Case Report
Acute intermittent porphyria (AIP) is an autosomal disorder marked by a deficiency of the enzyme, the hydroxymethylbilane synthase which is part of the heme biosynthesis. It is manifested clinically by multi-system involvement. Our patient does have chronic ischemic heart disease needed surgical revascularization; his sternotomy incision revealed the classical blackish discoloration of the bone marrow, which guided us for his work up and diagnosis.
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