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Patients with certain inherited metabolic disorders often arrive in the emergency room / hospital setting with porphyria-like attacks. To improve an understanding of AHP (acute hepatic porphyria) and to better differentiate this disorder from others that mimic symptoms similar to AHP, a broad differential diagnosis of the main acute presentations of acute porphyrias (including severe abdominal pain, extensive neuropathy issues, disabling respiratory symptoms, tachycardia, vomiting, and more) will be reviewed using pediatric and adult patient cases, with recommended strategies for immediate treatment
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