Acute intermittent porphyria-a diagnostic dilemma with a non-abdominal cause of abdominal pain

摘要

Acute intermittent porphyria is a serious neurological condition that can present with different manifestations, including seizures. As seizure is a presenting feature of multiple clinical etiologies, it can also mask other symptoms, at times leading to certain possibilities being overlooked. We report a case of a 14 year old girl, who presented with seizure as the chief complaint, later on developing pain abdomen, which was eventually diagnosed to have acute intermittent porphyria.