Tyrosinemia with acute intermittent porphyria: Aminolevulinic acid dehydratase deficiency related to elevated urinary aminolevulinic acid levels

A patient who had hereditary tyrosinemia was observed during two illnesses to have characteristics ofacute intermittent porphyria with associated hypertension. Metabolic studies revealed elevated levels of urinary aminolevulinic acid but normal levels of porphyrin metabolites associated with, and po...

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Veröffentlicht in:The Journal of pediatrics 1977-03, Vol.90 (3), p.400-404
Hauptverfasser: Strife, C. Frederic, Zuroweste, Edward L., Emmett, Edward A., Finelli, Vincent N., Petering, H.G., Berry, Helen K.
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container_end_page 404
container_issue 3
container_start_page 400
container_title The Journal of pediatrics
container_volume 90
creator Strife, C. Frederic
Zuroweste, Edward L.
Emmett, Edward A.
Finelli, Vincent N.
Petering, H.G.
Berry, Helen K.
description A patient who had hereditary tyrosinemia was observed during two illnesses to have characteristics ofacute intermittent porphyria with associated hypertension. Metabolic studies revealed elevated levels of urinary aminolevulinic acid but normal levels of porphyrin metabolites associated with, and possibly explained by, decreased red blood cell activity of the zinc-dependent enzyme, aminolevulinic acid dehydratase. Zinc deficiency could not be directly associated with the diminished enzyme activity. The patient's hypertension appeared to be related to increased urinary excretion of catecholamines and to elevated renin activity in peripheral venous blood.
doi_str_mv 10.1016/S0022-3476(77)80701-4
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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Adolescent
Amino Acid Metabolism, Inborn Errors - complications
Aminolevulinic Acid - urine
Catecholamines - urine
Female
Humans
Hydro-Lyases - deficiency
Levulinic Acids - urine
Porphobilinogen Synthase - deficiency
Porphyrias - complications
Renin - blood
Tyrosine - metabolism
title Tyrosinemia with acute intermittent porphyria: Aminolevulinic acid dehydratase deficiency related to elevated urinary aminolevulinic acid levels
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