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Red Blood Cell Porphobilinogen Deaminase in the Evaluation of Acute Intermittent Porphyria FREE

Claus A. Pierach, MD; Mary K. Weimer; Ruth A. Cardinal; Irene C. Bossenmaier; Joseph R. Blommer, MD
[+] Author Affiliations

Reprint requests to Abbott Northwestern Hospital, 800 E 28th St, Minneapolis, MN 55407 (Dr Pierach).


JAMA. 1987;257(1):60-61. doi:10.1001/jama.1987.03390010064029
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We measured the activity of the enzyme porphobilinogen deaminase in red blood cells of 222 persons. Ninety-seven of 107 patients with acute intermittent porphyria had enzyme activity below the normal range, whereas 55 of 56 patients with other types of porphyria had normal activity. This underscores the utility of this test in confirming the diagnosis of acute intermittent porphyria. Measurement of enzyme activity in 41 families with acute intermittent porphyria demonstrated that deficient activity is inherited as an autosomal dominant trait. Many latent carriers of the genetic defect were identified by family studies, permitting appropriate precautions to avoid potentially lethal porphyric attacks.

(JAMA 1987;257:60-61)

REFERENCES

Tishler PV, Woodward B, O'Connor J, et al:  High prevalence of intermittent acute porphyria in a psychiatric patient population . Am J Psychiatry 1985;;142:1430-1436.
Pierach CA, Cardinal R, Bossenmaier I, et al:  Comparison of the Hoesch and the Watson-Schwartz tests for urinary porphobilinogen . Clin Chem 1977;;23:1666-1668.
Elder GH:  Enzymatic defects in porphyria: An overview . Semin Liver Dis 1982;;2:87-99.
Sassa S, Granick S, Bickers DR, et al:  A microassay for uroporphyrinogen I synthase, one of three abnormal enzyme activities in acute intermittent porphyria, and its application to the study of the genetics of this disease . Proc Natl Acad Sci USA 1974;;71:732-736.
Mustajoki P, Tenhunen R:  Variant of acute intermittent porphyria with normal erythrocyte uroporphyrinogen-I-synthase activity . Eur J Clin Invest 1985;;15:281-284.

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Tishler PV, Woodward B, O'Connor J, et al:  High prevalence of intermittent acute porphyria in a psychiatric patient population . Am J Psychiatry 1985;;142:1430-1436.
Pierach CA, Cardinal R, Bossenmaier I, et al:  Comparison of the Hoesch and the Watson-Schwartz tests for urinary porphobilinogen . Clin Chem 1977;;23:1666-1668.
Elder GH:  Enzymatic defects in porphyria: An overview . Semin Liver Dis 1982;;2:87-99.
Sassa S, Granick S, Bickers DR, et al:  A microassay for uroporphyrinogen I synthase, one of three abnormal enzyme activities in acute intermittent porphyria, and its application to the study of the genetics of this disease . Proc Natl Acad Sci USA 1974;;71:732-736.
Mustajoki P, Tenhunen R:  Variant of acute intermittent porphyria with normal erythrocyte uroporphyrinogen-I-synthase activity . Eur J Clin Invest 1985;;15:281-284.
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